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Background & Objective: Nutritional support is a basic process for survival in trauma patients. The purpose of this study was to evaluate the daily nutritional support practice in head injury patients admitted to Neurosurgery Intensive Care Unit.

 

Materials & Methods: This descriptive cross-sectional study was done on 115 Head injury adults patients who received enteral nutrition for at least 48h in Rasht Poursina hospital during 2005. Nutritional measurements were included the number of patients who received enteral nutrition, the time to initiate nutritional support, amount of initial feeding and clinical outcome were included the duration of mechanical ventilation, ICU and in-hospital length of stay (loss), in-hospital mortality rates .Data was reported as Mean±SD and percent. T-test analysis was used for comparing of calorie and nutrient intakes and requirements.

 

Results: Mean±SD of age patient was 41.22±21.9, 84% of patients received enteral nutrition. The time to feeding and the amount of initial feeding was 4.6±1 day and 52.79±27.83 ml/h respectively. Duration of ventilation was 12±13.4 day and ICU length of stay 18.96±18.3 day, Hospital length of stays 24.47±19.84 day. Mortality rate in six month was 48%. Mean of energy, carbohydrate, fat and protein (P<0.05) intakes had significant differences compared with requirements.

 

Conclusion: The recording process has revealed undesirable feeding practice in head injury patients. Nutritional outcomes would be improved with implementation of standard protocol in neurosurgery intensive care unit.

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Obsessive-compulsive disorder is manifested by a group of symptoms including intrusive thoughts, rituals, mental obsessions and compulsions which creates great distress for the individual. Traumatic brain injurie known as one of the rare reasons of obsessive-compulsive disorder. This report is about 3 patients that suffer from obsessive-compulsive disorder after a traumatic brain injury and loss of consciousness. All 3 patients had no sign of obsessive-compulsive disorder before the trauma. Information on these reports, examine the relationship between obsessive-compulsive disorder and traumatic brain injury. Findings from the neuroimaging methods for these patients have been reported. In this study, all the reported cases that had sever traumatic brain injuries were assessed by neuroimaging methods and brain injuries were obsereved in the right temporal in first case, in the right temporal and both frontal sides in second case, in the splenium corpus callosum and the right brain tegmentums and diffused axonal injury and extra-axial hematoma in the left temporal lobein the thirtd patient. Based on the findings of this study obsessive-compulsive disorder can rarely be developed after a traumatic brain injury and by assessing the neuroimaging findings, we can conclude that there is a relationship between the brain injuries and the symptoms of obsessive-compulsive.