Articles: brain-injuries.
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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.
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31 patients with craniocerebral gunshot wounds were examined in the acute phase and 14 out of 22 survivors followed up for a period of up to 3 years. The clinical and CT findings as well as treatment measures are explained. The value of CT is convincingly demonstrated with this type of injury, as with others, but its prognostic value including prediction of follow-up results remains limited.
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Journal of neurosurgery · Nov 1983
Outcome from severe head injury related to the type of intracranial lesion. A computerized tomography study.
The influence of the type of intracranial lesion on the final outcome in a consecutive series of 277 severely head-injured patients was analyzed. Patients were studied with computerized tomography (CT) and underwent continuous measurement of intracranial pressure. ⋯ Patients with pure extracerebral hematoma (19 cases), single brain contusion (45 cases), general brain swelling (41 cases), and normal CT scans (28 cases) had a significantly better outcome than patients developing acute hemispheric swelling after operation for a large extracerebral hematoma (27 cases), patients with multiple brain contusion, either unilateral or bilateral (74 cases), and patients with diffuse axonal injury (43 cases). These anatomical patterns are interesting because, in addition to having clinical and physiopathological significance, they provide useful prognostic information and facilitate improved therapeutic decision-making in severely head-injured patients.