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Intracranial Trauma What is it?
Posted on: September 02nd, 2019


An intracranial trauma is caused by a strong impact that the brain receives when it hits the walls or bones of the skull, which can have different consequences depending on the intensity of the hit.

Causes of Intracranial Trauma

Among the causes of this type of injury are:

  • Strike or trauma of certain energy in the skull.
  • Traffic accidents.
  • Fights or fights.
  • Falls of height.
  • In the older adult, perform minor movements of acceleration and deceleration or falls of low height.
  • Sports injuries.


Types of Intracranial Trauma

There are two types of intracranial trauma, open and closed. This classification has no relationship with the severity of the injury, but by the type of damage it generates in the skull. The types of intracranial trauma are:


  • Open intracranial trauma: refers to the alteration of the meninges, (membranes of brain tissue), which cover the brain by trauma.
  • Closed intracranial trauma: it is when there is no rupture of the meninges due to the blow.

Symptoms of Intracranial Trauma

An intracranial trauma does not always occur with a loss of consciousness; In fact, most people who suffer from them never lose consciousness. The symptoms of this type of injury vary according to the severity of the blow, the most serious ones need immediate medical attention. The symptoms are classified as:

Mild symptoms:

  • Altered level of consciousness (drowsiness, difficulty waking up or similar changes).
  • Confusion, feeling absent or not thinking clearly.
  • Headache.
  • Loss of knowledge
  • Loss of memory or amnesia of events before the injury or immediately after the person regains consciousness.
  • Nausea and vomiting.
  • See twinkling lights.
  • Sensation of having lost periods of time.

Serious symptoms:

  • Changes in mental lucidity and awareness.
  • Epileptic crisis or convulsions.
  • Muscle weakness on one or both sides.
  • Persistent confusion
  • Persistent loss of consciousness or coma
  • Repetitive vomiting
  • Unequal pupils
  • Unusual eye movements
  • Abnormalities in the march.

Treatment of Intracranial Trauma

A person suffering from intracranial trauma requires immediate medical attention. The treatment of this type of trauma varies greatly depending on the energy of the blow that caused it.

  • You must be under observation for 24 hours or days, verifying that you speak, move and behave normally.
  • If the trauma is more serious, the patient may require surgeries to drain bruises, remove bone segments, install catheters or drainage catheters or intra-cranial pressure measurement, etc.
  • Mechanical ventilation is used if necessary.
  • Treatments with medicines to protect brain tissue from the effects of trauma.


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