Articles: brain-injuries.
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In accident diagnosis, the computed tomogram (CT) is nowadays decisive for the determination of craniocerebral traumas. This is true for children as well as for adult patients. ⋯ Furthermore the injuries to the osseous skull which can be represented by CT and the late consequences of the accident are mentioned. The special aspects of craniocerebral traumas in children are taken into consideration.
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Comparative Study
The diagnostic significance of posttraumatic sphenoid sinus effusions: correlation with head computed tomography.
In review of 1544 patients with both head computed tomography (CT) examinations and skull radiographs, 150 patients were found to have a history of acute head trauma. Twenty-nine of these patients had sphenoid sinus effusions. ⋯ Of the patients with sphenoid effusions, 31% (9/29) had intracerebral hematomas, 24% (7/29) had extracerebral hematomas, 13% (4/29) had pneumocephalus, and 13% (4/29) had cerebral edema. We conclude that the presence of posttraumatic sphenoid sinus effusion on the skull radiograph is a sensitive sign for intracranial damage and serves as an emergent indication for head CT.
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Zentralbl. Neurochir. · Jan 1984
Case Reports[Value of computer tomography in the diagnosis of impression fractures of the cranial vault].
There are only few statements about the validity of computed tomography for the identification of impression fractures of the skull cap. The diagnostic information of roentgenograms without contrast medium and computed tomograms of a total of 15 patients were evaluated and compared. ⋯ The simultaneous consideration of the sequelae of the intracranial traumata by computed tomography enables a complete assessment of the craniocerebral trauma. The appropriate combination of conventional X-ray diagnosis with computed tomography should lead to an optimum diagnostic information also for these clinical pictures.
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Autopsy findings in 270 fatal head injuries from firearms are reported, including 243 suicides and 27 homicides. The most frequent weapon used for both groups were shot guns which are easily available in Norway. ⋯ Twenty-six percent of the victims from homicides had multiple wounds in their head. Suicide by firearms showed marked male predominance, whereas the sex ratio for homicide was rather equal between the two sexes.