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  1. Book: Traumatic brain injury

    Vos, Pieter E. / Diaz-Arrastia, Ramon

    2015  

    Author's details ed. by Pieter E. Vos ; Ramon Diaz-Arrastia
    Keywords Brain Injuries / diagnosis ; Brain Injuries / therapy
    Language English
    Size XII, 231 S. : Ill., graph. Darst.
    Publisher Wiley Blackwell
    Publishing place Chichester
    Publishing country Great Britain
    Document type Book
    Note Includes bibliographical references and index ; The clinical problem of traumatic head injury / Ramon Diaz-Arrastia and Pieter E. Vos -- Neuroimaging in traumatic brain injury / Pieter E. Vos, Carlos Marquez de la Plata, and Ramon Diaz-Arrastia -- Out of hospital management in traumatic brain injury / Peter R.G. Brink -- Emergency department evaluation of mild traumatic brain injury / Noel S. Zuckerbraun, C. Christopher King, and Rachel P. Berger -- In-hospital observation for mild traumatic brain injury / Pieter E. Vos and Dafin F. Muresanu -- ICU care : surgical and medical management : indications for immediate surgery / Peter S. Amenta and Jack Jallo -- ICU Care : surgical and medical management : neurological monitoring and treatment / Luzius A. Steiner -- ICU Care : surgical and medical management : systemic treatment / Lori Shutter -- Rehabilitation of cognitive deficits after traumatic brain injury / Philippe Azouvi and Claire Vallat-Azouvi -- Epidemiology of traumatic brain injury / Ramon Diaz-Arrastia and Kimbra Kenney -- Neuropsychiatric and behavioral sequelae / Kathleen F. Pagulayan and Jesse R. Fann -- Follow-up and community integration of mild traumatic brain injury / Joukje van der Naalt and Joke M. Spikman
    HBZ-ID HT018540105
    ISBN 978-1-4443-3770-9 ; 1-4443-3770-X
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Biomarkers of focal and diffuse traumatic brain injury.

    Vos, Pieter E

    Critical care (London, England)

    2011  Volume 15, Issue 4, Page(s) 183

    Abstract: Traumatic brain injury (TBI) is a pathologically heterogeneous disease affecting people of all ages. The highest incidence of TBI occurs in young people and the average age is 30 to 40 years. Injury grading may range from mild with a low frequency (1 per ...

    Abstract Traumatic brain injury (TBI) is a pathologically heterogeneous disease affecting people of all ages. The highest incidence of TBI occurs in young people and the average age is 30 to 40 years. Injury grading may range from mild with a low frequency (1 per 100) of life-threatening intracranial hematoma that needs immediate neurosurgical operation and very low mortality (1 per 1,000) to severe with a high likelihood of life-threatening intracranial hematoma (up to 1 per 3), a 40% case fatality rate and a high disability rate (2 per 3) in survivors. Estimation of the prognosis in severe TBI is currently based on demographic and clinical predictors, including age, Glasgow Coma Scale, pupillary reactions, extracranial injury (hypotension and hypoxia) and computed tomography indices (brain swelling, focal mass lesions, subarachnoid hemorrhage). Biomarkers reflecting damage to neurons and astrocytes may add important complementary information to clinical predictors of outcome and provide insight into the pathophysiology of TBI.
    MeSH term(s) Brain Injuries/blood ; Brain Injuries/diagnostic imaging ; Female ; Glial Fibrillary Acidic Protein/blood ; Humans ; Male ; Tomography, X-Ray Computed ; Ubiquitin Thiolesterase/blood
    Chemical Substances Glial Fibrillary Acidic Protein ; Ubiquitin Thiolesterase (EC 3.4.19.12)
    Language English
    Publishing date 2011-08-18
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/cc10290
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book: Traumatic brain injury

    Vos, Pieter E / Diaz-Arrastia, Ramon

    2015  

    Author's details edited by Pieter E. Vos, Ramon Diaz-Arrastia
    MeSH term(s) Brain Injuries/diagnosis ; Brain Injuries/therapy
    Language English
    Size xii, 231 pages :, illustrations.
    Document type Book
    ISBN 9781444337709 ; 144433770X
    Database Catalogue of the US National Library of Medicine (NLM)

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  4. Article ; Online: Acute serum free thiols: a potentially modifiable biomarker of oxidative stress following traumatic brain injury.

    Visser, Koen / van der Horn, Harm Jan / Bourgonje, Arno R / Jacobs, Bram / de Borst, Martin H / Vos, Pieter E / Bulthuis, Marian L C / van Goor, Harry / van der Naalt, Joukje

    Journal of neurology

    2022  Volume 269, Issue 11, Page(s) 5883–5892

    Abstract: Serum concentrations of free thiols (key components of the extracellular antioxidant machinery) reflect the overall redox status of the human body. The objective of this exploratory study was to determine the concentrations of serum free thiols in the ... ...

    Abstract Serum concentrations of free thiols (key components of the extracellular antioxidant machinery) reflect the overall redox status of the human body. The objective of this exploratory study was to determine the concentrations of serum free thiols in the acute phase after traumatic brain injury (TBI) and their association with long-term outcome. In this observational cohort study, patients with TBI of various severity were included from a biobank of prospectively enrolled TBI patients. Further eligibility criteria included an available blood sample and head computed tomography data, obtained within 24 h of injury, as well as a functional outcome assessment (Glasgow Outcome Scale Extended (GOSE)) at 6 months post-injury. Serum free thiol concentrations were markedly lower in patients with TBI (n = 77) compared to healthy controls (n = 55) (mean ± standard deviation; 210.3 ± 63.3 vs. 301.8 ± 23.9 μM, P < 0.001) indicating increased oxidative stress. Concentrations of serum free thiols were higher in patients with complete functional recovery (GOSE = 8) than in patients with incomplete recovery (GOSE < 8) (median [interquartile range]; 235.7 [205.1-271.9] vs. 205.2 [173-226.7] μM, P = 0.016), suggesting that patients with good recovery experience less oxidative stress in the acute phase after TBI or have better redox function. Acute TBI is accompanied by a markedly lower concentration of serum free thiols compared to healthy controls indicating that serum free thiols may be a novel biomarker of TBI. Future studies are warranted to validate our findings and explore the clinical applicability and prognostic capability of this candidate-biomarker.
    MeSH term(s) Antioxidants ; Biomarkers ; Brain Injuries, Traumatic/diagnostic imaging ; Humans ; Oxidative Stress ; Sulfhydryl Compounds
    Chemical Substances Antioxidants ; Biomarkers ; Sulfhydryl Compounds
    Language English
    Publishing date 2022-07-01
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ZDB-ID 187050-6
    ISSN 1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    ISSN (online) 1432-1459
    ISSN 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    DOI 10.1007/s00415-022-11240-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: White matter in traumatic brain injury: Dis- or dysconnection?

    Vos, Pieter E / Bigler, Erin D

    Neurology

    2011  Volume 77, Issue 9, Page(s) 810–811

    MeSH term(s) Diffuse Axonal Injury/pathology ; Diffusion Tensor Imaging ; Female ; Humans ; Male ; Nerve Fibers, Myelinated/pathology
    Language English
    Publishing date 2011-08-30
    Publishing country United States
    Document type Comment ; Editorial ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0b013e31822b015b
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Abnormal connectivity in the sensorimotor network predicts attention deficits in traumatic brain injury.

    Shumskaya, Elena / van Gerven, Marcel A J / Norris, David G / Vos, Pieter E / Kessels, Roy P C

    Experimental brain research

    2017  Volume 235, Issue 3, Page(s) 799–807

    Abstract: The aim of this study was to explore modifications of functional connectivity in multiple resting-state networks (RSNs) after moderate to severe traumatic brain injury (TBI) and evaluate the relationship between functional connectivity patterns and ... ...

    Abstract The aim of this study was to explore modifications of functional connectivity in multiple resting-state networks (RSNs) after moderate to severe traumatic brain injury (TBI) and evaluate the relationship between functional connectivity patterns and cognitive abnormalities. Forty-three moderate/severe TBI patients and 34 healthy controls (HC) underwent resting-state fMRI. Group ICA was applied to identify RSNs. Between-subject analysis was performed using dual regression. Multiple linear regressions were used to investigate the relationship between abnormal connectivity strength and neuropsychological outcome. Forty (93%) TBI patients showed moderate disability, while 2 (5%) and 1 (2%) upper severe disability and low good recovery, respectively. TBI patients performed worse than HC on the domains attention and language. We found increased connectivity in sensorimotor, visual, default mode (DMN), executive, and cerebellar RSNs after TBI. We demonstrated an effect of connectivity in the sensorimotor RSN on attention (p < 10
    MeSH term(s) Adolescent ; Adult ; Aged ; Attention Deficit Disorder with Hyperactivity/diagnostic imaging ; Attention Deficit Disorder with Hyperactivity/etiology ; Attention Deficit Disorder with Hyperactivity/pathology ; Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/diagnostic imaging ; Brain Mapping ; Female ; Glasgow Coma Scale ; Humans ; Image Processing, Computer-Assisted ; Linear Models ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Neural Pathways/diagnostic imaging ; Neural Pathways/physiopathology ; Neuropsychological Tests ; Oxygen/blood ; Photic Stimulation ; Rest ; Young Adult
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2017-03
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1201-4
    ISSN 1432-1106 ; 0014-4819
    ISSN (online) 1432-1106
    ISSN 0014-4819
    DOI 10.1007/s00221-016-4841-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The radiological interpretation of possible microbleeds after moderate or severe traumatic brain injury: a longitudinal study.

    van der Eerden, Anke W / van den Heuvel, Thomas L A / Maas, Marnix C / Vart, Priya / Vos, Pieter E / Platel, Bram / Góraj, Bozena M / Manniesing, Rashindra

    Neuroradiology

    2021  Volume 64, Issue 6, Page(s) 1145–1156

    Abstract: Introduction: In order to augment the certainty of the radiological interpretation of "possible microbleeds" after traumatic brain injury (TBI), we assessed their longitudinal evolution on 3-T SWI in patients with moderate/severe TBI.: Methods: ... ...

    Abstract Introduction: In order to augment the certainty of the radiological interpretation of "possible microbleeds" after traumatic brain injury (TBI), we assessed their longitudinal evolution on 3-T SWI in patients with moderate/severe TBI.
    Methods: Standardized 3-T SWI and T1-weighted imaging were obtained 3 and 26 weeks after TBI in 31 patients. Their microbleeds were computer-aided detected and classified by a neuroradiologist as no, possible, or definite at baseline and follow-up, separately (single-scan evaluation). Thereafter, the classifications were re-evaluated after comparison between the time-points (post-comparison evaluation). We selected the possible microbleeds at baseline at single-scan evaluation and recorded their post-comparison classification at follow-up.
    Results: Of the 1038 microbleeds at baseline, 173 were possible microbleeds. Of these, 53.8% corresponded to no microbleed at follow-up. At follow-up, 30.6% were possible and 15.6% were definite. Of the 120 differences between baseline and follow-up, 10% showed evidence of a pathophysiological change over time. Proximity to extra-axial injury and proximity to definite microbleeds were independently predictive of becoming a definite microbleed at follow-up. The reclassification level differed between anatomical locations.
    Conclusions: Our findings support disregarding possible microbleeds in the absence of clinical consequences. In selected cases, however, a follow-up SWI-scan could be considered to exclude evolution into a definite microbleed.
    MeSH term(s) Brain Injuries, Traumatic/complications ; Brain Injuries, Traumatic/diagnostic imaging ; Cerebral Hemorrhage/diagnostic imaging ; Humans ; Longitudinal Studies ; Magnetic Resonance Imaging/methods ; Radiography
    Language English
    Publishing date 2021-10-31
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 123305-1
    ISSN 1432-1920 ; 0028-3940
    ISSN (online) 1432-1920
    ISSN 0028-3940
    DOI 10.1007/s00234-021-02839-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Unexpected emergence from the vegetative state: delayed discovery rather than late recovery of consciousness.

    van Erp, Willemijn S / Aben, Anoek M L / Lavrijsen, Jan C M / Vos, Pieter E / Laureys, Steven / Koopmans, Raymond T C M

    Journal of neurology

    2019  Volume 266, Issue 12, Page(s) 3144–3149

    Abstract: Background: The vegetative state, also known as the unresponsive wakefulness syndrome, is one of the worst possible outcomes of acquired brain injury and confronts rehabilitation specialists with various challenges. Emergence to (minimal) consciousness ... ...

    Abstract Background: The vegetative state, also known as the unresponsive wakefulness syndrome, is one of the worst possible outcomes of acquired brain injury and confronts rehabilitation specialists with various challenges. Emergence to (minimal) consciousness is classically considered unlikely beyond 3-6 months after non-traumatic or 12 months after traumatic etiologies. A growing body of evidence suggests that these timeframes are too narrow, but evidence regarding chances of recovery is still limited.
    Objective: To identify the moment of recovery of consciousness in documented cases of late emergence from a vegetative state.
    Methods: Four cases of apparent late recovery of consciousness, identified within a prospective cohort study, were studied in-depth by analyzing medical, paramedical and nursing files and interviewing the patients' families about their account of the process of recovery.
    Results: All patients were found to have shown signs of consciousness well within the expected time frame (5 weeks-2 months post-ictus). These behaviors, however, went unnoticed or were misinterpreted, leading to a diagnostic delay of several months to over 5 years. Absence of appropriate diagnostics, the use of erroneous terminology, sedative medication but also patient-related factors such as hydrocephalus, language barriers and performance fluctuations are hypothesized to have contributed to the delay.
    Conclusions: Delayed recognition of signs of consciousness in patients in a vegetative state may not only lead to suboptimal clinical care, but also to distorted prognostic figures. Discriminating late recovery from the delayed discovery of consciousness, therefore, is vital to both clinical practice and science.
    MeSH term(s) Adult ; Brain Injuries, Traumatic/complications ; Consciousness/physiology ; Female ; Heart Arrest/complications ; Humans ; Male ; Middle Aged ; Persistent Vegetative State/diagnosis ; Persistent Vegetative State/etiology ; Persistent Vegetative State/physiopathology ; Prospective Studies ; Subarachnoid Hemorrhage/complications ; Time Factors
    Language English
    Publishing date 2019-09-20
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 187050-6
    ISSN 1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    ISSN (online) 1432-1459
    ISSN 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
    DOI 10.1007/s00415-019-09542-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Unresponsive wakefulness syndrome: Outcomes from a vicious circle.

    van Erp, Willemijn S / Lavrijsen, Jan C M / Vos, Pieter E / Laureys, Steven / Koopmans, Raymond T C M

    Annals of neurology

    2019  Volume 87, Issue 1, Page(s) 12–18

    MeSH term(s) Adult ; Female ; Humans ; Male ; Middle Aged ; Persistent Vegetative State/mortality ; Terminal Care/standards ; Terminal Care/statistics & numerical data
    Language English
    Publishing date 2019-11-01
    Publishing country United States
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 80362-5
    ISSN 1531-8249 ; 0364-5134
    ISSN (online) 1531-8249
    ISSN 0364-5134
    DOI 10.1002/ana.25624
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The association between post-concussion symptoms and health-related quality of life in patients with mild traumatic brain injury.

    Voormolen, Daphne C / Polinder, Suzanne / von Steinbuechel, Nicole / Vos, Pieter E / Cnossen, Maryse C / Haagsma, Juanita A

    Injury

    2018  Volume 50, Issue 5, Page(s) 1068–1074

    Abstract: A subset of mild traumatic brain injury (mTBI) patients experience post-concussion symptoms. When a cluster of post-concussion symptoms persists for over three months, it is referred to as post-concussion syndrome (PCS). Little is known about the ... ...

    Abstract A subset of mild traumatic brain injury (mTBI) patients experience post-concussion symptoms. When a cluster of post-concussion symptoms persists for over three months, it is referred to as post-concussion syndrome (PCS). Little is known about the association between PCS and Health-Related Quality of Life (HRQoL) after mTBI. The aims of this study were to assess the implications of PCS on HRQoL six months after mTBI and the relationship between PCS and HRQoL domains. A prospective observational cohort study was conducted among a sample of mTBI patients. Follow-up postal questionnaires at six months after emergency department (ED) admission included socio-demographic information, the Rivermead Post-Concussion Symptoms Questionnaire (RPQ), and HRQoL measured with the 36-item Short-Form Health Survey (SF-36) and the Perceived Quality of Life Scale (PQoL). In total, 731 mTBI patients were included, of whom 38.7% were classified as suffering from PCS. Patients with PCS had significantly lower scores on all SF-36 domains, lower physical and mental component summary scores and lower mean PQoL scores compared to patients without PCS. All items of the RPQ were negatively correlated to all SF-36 domains and PQoL subscale scores, indicating that reporting problems on any of the RPQ symptoms was associated with a decrease on different aspects of an individuals' HRQoL. To conclude, PCS is common following mTBI and patients with PCS have a considerably lower HRQoL. A better understanding of the relationship between PCS and HRQoL and possible mediating factors in this relationship could improve intervention strategies, the recovery process for mTBI patients and benchmarking.
    MeSH term(s) Adult ; Benchmarking ; Brain Concussion/complications ; Brain Concussion/physiopathology ; Brain Concussion/psychology ; Female ; Humans ; Male ; Middle Aged ; Post-Concussion Syndrome/physiopathology ; Post-Concussion Syndrome/psychology ; Prospective Studies ; Quality of Life ; Recovery of Function/physiology ; Time Factors
    Language English
    Publishing date 2018-12-07
    Publishing country Netherlands
    Document type Journal Article ; Observational Study
    ZDB-ID 218778-4
    ISSN 1879-0267 ; 0020-1383
    ISSN (online) 1879-0267
    ISSN 0020-1383
    DOI 10.1016/j.injury.2018.12.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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