Management of Concomitant TBI and SCI in the Neurocritical Care Setting
Description
In this presentation, Dr. Mangat will describe the unique features, diagnosis, management and challenges in the management of concomitant TBI with SCI.
Neurocritical Care & TBI | Management and Outcomes of Patients with Concomitant Traumatic Brain Injury and Spinal Cord Injury*
Date: October 19, 2026
Time: 3:45 pm to 5:15 pm
Room: Coral 5
Track: Traditional Special Interest Group (SIG)
Session Description
This session will examine the management of patients with concomitant traumatic brain injury (TBI) and spinal cord injury (SCI), drawing on current clinical and translational research. With co-occurrence rates as high as 30–50% in SCI and approximately 12.5% in TBI, this “dual diagnosis” presents significant challenges across the continuum of care—from neurocritical care to neurorehabilitation.
Faculty will review key management principles and clinical guidelines for both TBI and SCI, with a focus on optimizing neurological and functional recovery while minimizing secondary complications. Through an integrated care perspective, the session will highlight strategies to improve survival, recovery, and quality of life in this complex patient population.
Learning Objectives
At the conclusion of this session, attendees will be able to:
- Describe clinical practice guidelines for the management of TBI and SCI in acute and neurocritical care settings.
- Apply rehabilitation principles to patients with concomitant TBI and SCI across the continuum of care.
- Compare outcomes associated with dual diagnosis versus isolated central nervous system injury.
Speakers
- (Chair, Speaker) Julio Furlan, MD, LLB, MBA, PhD, MSc, FRCPC, FASIA
- (Co-Chair) Sherry Chou, MD, MSc, FANA
- (Speaker) Halinder Mangat, MD, MSc
- (Speaker) Maria Paulino, BS (2026 SIG Oral Presenter)
- (Speaker) Skylar Lewis, BA (2026 SIG Oral Presenter)
Management of Concomitant TBI and SCI in the Acute Care and Rehabilitation Settings
Description
Individuals living with concomitant traumatic brain injury (TBI) and spinal cord injury (SCI) represent a particularly complex population, requiring coordinated care that spans the continuum from acute management through rehabilitation. Advances in clinical and translational research are improving our understanding of these coexisting injuries and informing strategies to optimize neurological recovery and functional outcomes.
This presentation will review the current clinical and translational evidence guiding the management of patients with concomitant TBI and SCI in both the acute care and rehabilitation settings. The presenters will discuss the pathophysiological interactions between brain and spinal cord injury, explore evidence-based approaches to acute medical management and rehabilitation, and highlight emerging research that is shaping future therapeutic strategies. Topics will also include the importance of interdisciplinary care in addressing the cognitive, physical, and functional challenges experienced by this patient population.
Attendees will leave with a greater understanding of the evolving evidence supporting the management of concomitant TBI and SCI and practical insights into applying research findings to improve patient care, rehabilitation, and long-term neurological outcomes.
Operationalizing the Neural Exposome in Mild TBI: Feasibility and Directional Trends of a Three-Domain Framework on Cognitive Trajectories using Principal Component Analysis
Description
This presentation translates the NINDS neural exposome framework into a clinically measurable model for cognitive trajectory following mild TBI.
Assessment of Stakeholders' Perceptions of Outcomes After Subarachnoid Hemorrhage: A Single-center Prospective Study
Description
In this presentation, Dr. Lewis will compare patient and provider perspectives on acceptable functional outcomes following aneurysmal subarachnoid hemorrhage.