Råd etter hjernerystelse: Restitusjon
Du skal ikke være alene det første døgnet, og du skal vekkes to ganger i løpet av den første natten, for å være sikker på at du kan vekkes og har normale reaksjoner. Vi anbefaler at du begrenser disse aktivitetene de følgende dager, inntil du føler deg kjekk igjen:
Annonse
- Langvarig TV-titting og lesing
- Videospill
- Alkohol
- Sportsaktiviteter som innebærer risiko for nye hodeskader (f.eks. fotball og slalåm)
Hvis du har hodepine, kan du bruke reseptfrie smertestillende midler (f.eks. paracetamol). Det kan hende at du vil ha behov for noen dagers sykmelding, avhengig av ditt yrke/skolegang og hvor plaget du er. Dette kan du i så fall be din egen lege om.
Vil du vite mer
Dette dokumentet er basert på det profesjonelle dokumentet Hodeskader . Referanselisten for dette dokumentet vises nedenfor
Referanser
- Sundstrøm T, Wester K, Enger M, et al. Skandinaviske retningslinjer for akutt håndtering av voksne pasienter med minimal, lett eller moderat hodeskade. Tidsskr Nor Legeforen 2013; 26. november. DOI: 10.4045/tidsskr.13.0916 DOI
- Sundstrøm T, Sollid S, Wester K. Hodeskadedødsfall i Norden 1987 - 2000. Tidsskr Nor Lægeforen 2005; 125: 1310-12. PubMed
- Bakhos LL, Lockhart GR, Myers R, Linakis JG. Emergency department visits for concussion in young child Athletes. Pediatrics 2010; 126: e550-6. Pediatrics
- Hamilton M, Mrazik M, Johnson DW. Incidence of delayed intracranial hemorrhage in children after uncomplicated minor head injuries. Pediatrics 2010; 126: e33-39. PubMed
- Russell-Giller S, Toto D, Heitzmann M, et al. Correlating the King-Devick Test With Vestibular/Ocular Motor Screening in Adolescent Patients With Concussion: A Pilot Study. Sports Health. 2018 Jul/Aug;10(4):334-339 . doi:10.1177/1941738118765450 DOI
- Ventura RE, Balcer LJ, Galetta SL. The Concussion Toolbox: The Role of Vision in the Assessment of Concussion. Semin Neurol. 2015 Oct;35(5):599-606. doi:10.1055/s-0035-1563567 DOI
- Ingebrigtsen T, Romner B. Bør hjerneskademarkør erstatte CT-undersøkelse ved lett hodeskade? Tidsskr Nor Legeforen 2012; 132: 1948 – 9. Tidsskrift for Den norske legeforening
- Ringerike T, Nevjar J, Jimenez E, Harboe I, Klemp M. Rapport fra Kunnskapssenteret nr 23 - 2014.
- Legeforeningen. Gjør kloke valg. Fagmedisinske anbefalinger. Norsk radiologisk forening. Siden besøkt 09.03.2021 www.legeforeningen.no
- Hoffman JR, Mower WR, Wolfson AB, Todd KH, et al. Validity of a set of clinical criteria to rule out injury to the cervical spine in patients with blunt trauma. N Engl J Med 2000; 343: 94-9. New England Journal of Medicine
- Vik A, Kvistad KA, Skandsen T, Ingebrigtsen T. Diffus aksonal skade ved hodetraume. Tidsskr Nor Lægeforen 2006; 126: 2940-4. PubMed
- Lovell MR, Pardini JE, Welling J, et al. Functional brain abnormalities are related to clinical recovery and time to return-to-play in athletes. Neurosurgery 2007; 61: 352-60. PubMed
- Astrand R, Rosenlund C, Undén J; Scandinavian Neurotrauma Committee (SNC). Scandinavian guidelines for initial management of minor and moderate head trauma in children. BMC Med 2016. pmid:26888597 PubMed
- Oris C, Pereira B, Durif J, et al. The Biomarker S100B and Mild Traumatic Brain Injury: A Meta-analysis. Pediatrics. 2018 PMID: 29716980 PubMed
- Undèn J, Ingebrigtsen T, Romner B. Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update. BMC Med 2013; 11: 50. PubMed
- Young KD, Okada PJ, Sokolove PE et al. A randomized, double-blinded, placebo-controlled trial of phenytoin for the prevention of early post-traumatic seizures in children with moderate to severe blunt head injury. Ann Emerg Med 2004; 43: 435-46. PubMed
- CRASH trial collaborators. Effect of intravenous corticosteroids on death within 14 days in 10 008 adults with clinically significant head injury (MRC CRASH trial): randomised placebo-controlled trial . Lancet 2004; 364: 1321-8. PubMed
- Alderson P, Roberts I. Corticosteroids in acute traumatic brain injury: a systematic review of randomised trials. BMJ 1997; 314: 1855-59. British Medical Journal
- Giacino JT, Whyte J, Bagiella E, et al. placebo-controlled trial of amantadine for severe traumatic brain injury. N Engl J Med 2012; 366: 819-26. New England Journal of Medicine
- Helmy A, Vizcaychipi M, Gupta AK. Traumatic brain injury: intensive care management. Br J Anaesth 2007; 99: 32-42. PubMed
- Lombardi F, Taricco M, De Tanti A, Telaro E, Liberati A. Sensory stimulation for brain injured individuals in coma or vegetative state (Cochrane Review). In: The Cochrane Library, Issue 2, 2002. Oxford: Update Software. The Cochrane Library
- Bennett MH, Trytko B, Jonker B. Hyperbaric oxygen therapy for the adjunctive treatment of traumatic brain injury. Cochrane Database Syst Rev 2012 Dec 12; 12: CD004609. Cochrane (DOI)
- Colbourne F, Sutherland G, Corbett D. Postischemic hypothermia: a critical appraisal with implications for clinical treatment. Mol Neurobiol 1997; 14: 171-201. PubMed
- Gadkary CS, Alderson P, Signorini DF. Therapeutic hypothermia for head injury (Cochrane Review). In: The Cochrane Library, Issue 1, 2002. Oxford: Update Software. The Cochrane Library
- McIntyre LA, Fergusson DA, Hébert PC, Moher D, Hutchison DS. Prolonged therapeutic hypothermia after traumatic brain injury in adults: a systematic review. JAMA 2003; 289: 2992-99. Journal of the American Medical Association
- Shann F. Hypothermia for traumatic brain injury: how soon, how cold, and how long?. Lancet 2003; 362: 1950-1. PubMed
- Bernard SA, Gray TW, Buist MD, et al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med 2002; 346: 557-63. New England Journal of Medicine
- Metz C, Holzschuh M, Bein T, et al. Moderate hypothermia in patients with severe head injury: cerebral and extracerebral effects. J Neurosurg 1996; 85: 533-41. PubMed
- Gunn AJ. Cerebral hypothermia for prevention of brain injury following perinatal asphyxia. Curr Opin Pediatr 2000; 12: 111-15. PubMed
- Guskiewicz KM, et al. Cumulative effects associated with recurrent concussion in collegiate football players. The NCAA concussion study. JAMA 2003; 290: 2549-55. PubMed
- McCrea M, et al. Acute effects and recovery time following concussion in collegiate football players. The NCAA concussion study. JAMA 2003; 290: 2556-63. PubMed
- McKeag DB. Understanding sportsrelated concussion. Coming into focus but still fuzzy. JAMA 2003; 290: 2604-5. PubMed
- Halstead ME, McAvoy K, Devore CD, et al. Returning to learning following a concussion. Pediatrics 2013; 132: 948-57. doi: 10.1542/peds.2013-2867 DOI
- Barlow KM, Crawford S, Brooks BL, et al. The incidence of postconcussion syndrome remains stable following mild traumatic brain injury in children. Pediatric Neurology. Published Online: June 10, 2015 . doi:http://dx.doi.org/10.1016/j.pediatrneurol.2015.04.011
- Nampiaparampil DE. Prevalence of Chronic Pain After Traumatic Brain Injury. A systematic Review. JAMA 2008; 300: 711-9. PubMed
- Christensen J, Pedersen MG, Pedersen CB, et al. Long term risk of epilepsy after traumatic brain injury in children and young adults: a population based cohort study. Lancet 2009; 373: 1105-10. PubMed
- Bombardier CH, Fann JR, Temkin NR, Esselman PC, Barber J, Dikmen SS. Rates of major depressive disorder and clinical outcomes following traumatic brain injury. JAMA 2010; 303: 1238-45. PubMed
- Tanriverdi F, Senyurek H, et al. High risk of hypopituitarism after traumatic brain injury: A prospective investigation of anterior pituitary function in the acute phase and 12 months after trauma. J Clin Endocrinol Metab 2006; 91: 2105-11. PubMed
- Fann JR, Burington B, Leonetti A, Jaffe K, Katon WJ, Thompson RS. Psychiatric illness following traumatic brain injury in an adult health maintenance organization population. Arch Gen Psychiatry 2004; 61:53-61. PubMed
- Stein SC, Spettell C. The head injury severity scale (HISS): a practical classification of closed-head injury. Brain Inj 1995; 9: 437-44. PubMed