Medico-surgical and Research project that Dr AFIF wants to carry out in France or abroad
Organization and improvement of neurosurgical management of severe acute head trauma
The good neurological outcomes raise the question of the reliability of the Glasgow Coma Scale GCS in the surgical indication decision for severe Traumatic Brain injury with a GCS score of <5, particularly in young patients (less than 40 years).
The Glasgow scale is currently used to determine the degree of consciousness and coma in brain injuries, and when Glasgow=3, the patient is considered to have entered a stage called Brain Death. Therefore, surgical intervention is not considered useful.
In this scientific article, Dr. Afif presents two cases of patients he operated on, and the results were more than good for both of them. Therefore, he questions the reliability of the Glasgow Score in such cases.
Introduction
The management of acute Brain trauma is a major potential public health problem, both in the short term (vital risk) and in the long term (disability). The severity of acute Brain trauma is highly variable, and can pose challenges for classification and management methods.
Goals
The objectives of this project are:
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The establishment of coordination between the various stakeholders in order to improve the NEUROSURGICAL management of severe head trauma.
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The establishment of a reliable and dynamic protocol for the performance of surgical procedures, which is always the responsibility of the neurosurgical teams on duty.
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The potential creation of a score for the classification of the management of mild and severe acute Brain trauma.
Thereby
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Establishment of a center for monitoring patients who are victims of Brain trauma (Outpatient – Consultations – Sophisticated imaging).
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Implementation and monitoring of clinical research protocols.
Dr Afif AFIF MD PhD
