Articles: brain-injuries.
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Zh Nevrol Psikhiatr · Jan 1995
[The characteristics of a psycho-autonomic syndrome in the sequelae of closed craniocerebral trauma].
Some clinical characteristics of posttraumatic psychovegetative syndrome, associated with nonspecific brain systems disfunctions were defined more precisely on the basis of the clinical estimation of vegetative, psychological as well as polygraphic indexes of sleep-awakening cycle in 205 patients with the consequences of closed craniocerebral trauma (CCT). It was mentioned that the characteristics features of such psychovegetative syndrome turned out to be: in vegetative sphere the clear parasympathetic displacement of main cardiovascular characteristics. ⋯ The discussion of results obtained was performed. The psychovegetative pattern revealed was worthwhile in different diagnosis of CCT with diseases of other etiology as well as both elaboration and improvement of rehabilitation system of patients with CCT consiquences.
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Penetrating cranio-cerebral trauma caused by fire-arm constitute the most frequent penetrating wounds in civilian ambit; in these cases the great extention of cerebral damage is the result of distructive forces generated by high velocity which moves this bodies. In civilian ambit cranio-cerebral wounds caused by penetrating bodies, but moved by low cinetic energy are increasing constantly, due to the development of industrial activities. ⋯ We think that for these traumatic event, we can adapt the same valutations criteria used for wounds caused by fire-arms. For what concerns surgery of such injuries, we consider the emergency operation the best solution; generally in these cases the purpose of surgery is not the removal of devitalized tissues, evacuation of hematomas or removal of bone fragments or of penetrating bodies as happen in cases of penetrating bodies moved by high cinetic energy, but for the possible complications which can result immediately or after the trauma.