Publications by authors named "G Caruselli"

Results obtained with three different CSF ventricular drainage methods (intermittent with no outflow resistance, continuous against a positive pressure, continuous with pre-arranged positive pressure), were evaluated in fifty nine cases of traumatic cerebral lesions and spontaneous intracerebral hematomas with intracranial hypertension. Continuous CSF withdrawal gives better clinical results and is more effective in controlling intracranial pressure than intermittent drainage (50% vs 13% successes respectively). Results obtained with continuous drainage against a steady positive pressure and with a pre-arranged pressure ("tidal drainage") are almost similar.

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Long-term ICP monitoring was carried out in 53 children and adolescents with severe head injuries. 36 of them exhibited bilateral decerebrate posturing and 13 bilateral pupil unresponsiveness. The highest ICP levels never exceeded 10 mmHg in 3 patients, ranged between 11 and 20 mmHg in 12 and between 21 and 50 in 16.

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Article Synopsis
  • Contusions and lacerations of the frontal lobes are common, accounting for 43.4% of traumatic brain mass lesions, and their clinical and pathological data are closely analyzed.
  • Surgical outcomes for frontal masses are similar to those in the temporal lobes, with current indications for surgery being limited to cases that result in significant intracranial hypertension.
  • Overall, brain contursion and laceration syndromes should not be viewed as separate from head injuries but rather as part of a spectrum of varying severity, affecting potential treatment approaches.
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