Articles: brain-injuries.
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Case Reports
[Intracranial pressure in severe brain injuries. 2nd Part: Therapeutic interests and prognosis].
Sixty-seven patients with severe head injury underwent intracranial pressure (ICP) monitoring (10 extradural and 57 intraventricular). All patients had Liege coma scale (LCS) score of 12 or less. Ventriculitis (E. ⋯ The study also confirms the high mortality rate (93%) if I. C. P. is greater than 40 torr.
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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.
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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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Zentralbl. Neurochir. · Jan 1984
Case Reports[Craniocerebral injuries caused by animal anesthesia equipment].
A consequence of the rareness of bullet injuries in the GDR are the uncertainties in the recognition and assessment of injuries caused by cattle anaesthetising devices which have become evident in connection with the relevant expertises of the respective cases. In view of this situation, the design and the mode of functioning of these devices as well as selected clinical aspects of such injuries are described. Besides the local findings, the computer tomography is of paramount importance in the diagnosis for both the recognition of the typical calvarial bursting and the representation of the shot channel with a demonstration of the imprimatum. Whenever possible, the therapy should consist in an early surgical procedure according to the principles to be applied to open craniocerebral injuries.