ABPN Brain Injury Medicine case studies
ABPN Brain Injury Medicine · Put your knowledge to work in context.
Brain Injury Medicine is an ABPN subspecialty certification for physicians who already hold a primary neurology or physical medicine and rehabilitation certification and who want formal recognition of expertise in acquired brain injury. It is aimed at clinicians who evaluate and manage patients across the continuum - from acute and critical care through inpatient rehabilitation, community reintegration, and long-term outpatient follow-up. The ABPN Brain Injury Medicine case studies are 5 cases and about 2,580 words.
1Sedation Interference with Brain Death Determination After Severe TBI
A 34-year-old man is admitted after a high-speed motorcycle crash with a Glasgow Coma Scale score of 3, bilaterally fixed pupils, and a CT showing diffuse cerebral edema with loss of gray-white differentiation and a 9 mm midline shift. He is intubated and mechanically ventilated.
582 words, about 3 min2Agitation and Disinhibition After Frontal Lobe Injury
A 41-year-old woman is 6 weeks out from a severe traumatic brain injury with bifrontal contusions and a small subdural hematoma managed conservatively. She is now in inpatient rehabilitation.
507 words, about 3 min3Return to Driving After Moderate TBI with Seizure Risk
A 28-year-old man sustained a moderate TBI 7 months ago with a right frontal contusion and a brief early post-traumatic seizure in the first 24 hours. He has completed outpatient rehabilitation.
498 words, about 2 min4Paroxysmal Sympathetic Hyperactivity Versus Sepsis in Disorders of Consciousness
A 22-year-old man is 3 weeks post severe TBI (diffuse axonal injury pattern) and remains in a vegetative state. He has episodes of tachycardia to 140 bpm, systolic blood pressure to 180 mmHg, tachypnea, diaphoresis, and extensor posturing, occurring several times daily and lasting 20-40 minutes.
465 words, about 2 min5Withdrawal of Life-Sustaining Treatment and Surrogate Decision-Making
A 67-year-old woman with a severe TBI after a fall is 10 days into an ICU course. She has a tracheostomy, is ventilator-dependent, and has a poor prognosis: her physicians estimate a low likelihood of meaningful recovery but acknowledge uncertainty.
528 words, about 3 min