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The Veterinary clinics of North America. Equine practice2021; 37(2); 245-258; doi: 10.1016/j.cveq.2021.04.001

Acute Central Nervous System Trauma in the Field.

Abstract: Acute central nervous system (CNS) trauma in the field is best approached by a systematic and thorough physical and neurologic examination that allows the practitioner to localize the brain or spinal cord injury. The skull and vertebral canal are complex 3-dimensional structures, and orthogonal radiographic views are necessary for an accurate diagnosis. Therapeutics aimed at decreasing pain, inflammation, and edema or increased intracranial pressure in the case of traumatic brain injury should be administered. Survival and return to athleticism can be achieved even in moderate-to-severe traumatic CNS injury with appropriate medical management.
Publication Date: 2021-06-10 PubMed ID: 34119403DOI: 10.1016/j.cveq.2021.04.001Google Scholar: Lookup
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Summary

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The research article explores the best strategies for dealing with severe central nervous system (CNS) injuries in medical emergencies, with an emphasis on pain management, controlling inflammation and edema, and reducing increased intracranial pressure in cases of traumatic brain injuries.

Understanding CNS Trauma

  • This study delves into the acute cases of injuries to the CNS, which includes the brain and spinal cord, that may occur during intense physical activities such as sports.
  • The CNS trauma occurs in a complex 3D structure that involves the skull and vertebral canal. As such, the study advises a comprehensive approach in diagnosing such injuries, which entails a physical and neurological examination.
  • This systematic approach helps medical professionals to accurately localize the injury in the brain or spinal cord, which is critical in designing an effective treatment plan.

Radiography in CNS Trauma

  • The study also stresses the importance of orthogonal radiographic views in the accurate diagnosis of CNS trauma. Given the complex 3D structure of the skull and vertebral canal, a clear and comprehensive view is essential for a correct evaluation of the situation.
  • Orthogonal radiography provides such a multilateral perspective, thereby boosting the chances of accurate diagnosis and effective treatments.

Managing CNS Trauma

  • The study recommends therapeutics aimed at alleviating pain, inflammation, and edema or increased intracranial pressure, particularly in the case of traumatic brain injury.
  • The objective of such treatments is to alleviate suffering, stabilize the patient’s condition and improve their chances of recovery and returning to normal activities, including athletics.
  • With appropriate and targeted medical management, the study suggests that survivors can recover even from moderate-to-severe traumatic CNS injury.

Cite This Article

APA
Estell K. (2021). Acute Central Nervous System Trauma in the Field. Vet Clin North Am Equine Pract, 37(2), 245-258. https://doi.org/10.1016/j.cveq.2021.04.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 37
Issue: 2
Pages: 245-258
PII: S0749-0739(21)00021-3

Researcher Affiliations

Estell, Krista
  • Virginia Tech's Marion duPont Scott Equine Medical Center, 17690 Old Waterford Rd, Leesburg, VA 20176, USA. Electronic address: bishopk@vt.edu.

MeSH Terms

  • Animals
  • Central Nervous System / injuries
  • Horse Diseases / diagnosis
  • Horse Diseases / therapy
  • Horses
  • Humans
  • Inflammation / veterinary
  • Pain / veterinary
  • Spinal Cord Injuries / diagnosis
  • Spinal Cord Injuries / therapy
  • Spinal Cord Injuries / veterinary
  • Wounds and Injuries / veterinary

Conflict of Interest Statement

Disclosure The author has no commercial or financial conflicts of interest to disclose.

Citations

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