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Is computed tomography of the head justified in patients with minor head trauma presenting with Glasgow Coma Scale 15/15?
SA J Radiol
September 2018
Department of Radiology, Groote Schuur Hospital, University of Cape Town, South Africa.
Background: In keeping with radiology departments in tertiary referral hospitals in developing countries offering computed tomography (CT) head scan services, the radiology department at Groote Schuur Hospital (GSH) in the Western Cape of South Africa undertakes several such scans annually. Of these scans, many are undertaken for post-trauma patients with minor head injury (MHI). While there is agreement that MHI patients with Glasgow Coma Scale (GCS) scores of 13-14/15 may well benefit, there is doubt as to the clinical utility of routine CT head scanning in MHI patients with GCS scores of 15/15.
View Article and Find Full Text PDFLoss of Autonoetic Awareness of Recent Autobiographical Episodes and Accelerated Long-Term Forgetting in a Patient with Previously Unrecognized Glutamic Acid Decarboxylase Antibody Related Limbic Encephalitis.
Front Neurol
June 2015
Department of Epileptology, University of Bonn, Bonn , Germany.
We describe a 35-year-old male patient presenting with depressed mood and emotional instability, who complained about severe anterograde and retrograde memory deficits characterized by accelerated long-term forgetting and loss of autonoetic awareness regarding autobiographical memories of the last 3 years. Months before he had experienced two breakdowns of unknown etiology giving rise to the differential diagnosis of epileptic seizures after various practitioners and clinics had suggested different etiologies such as a psychosomatic condition, burnout, depression, or dissociative amnesia. Neuropsychological assessment indicated selectively impaired figural memory performance.
View Article and Find Full Text PDFAutobiographic memory: phenomenological aspects, personal semantic knowledge, generic events and characters (one case of pure retrograde memory recovery).
Neurophysiol Clin
June 2008
Unité de neuropsychologie CM2R, CHU Bellevue, 42055 Saint-Etienne cedex 05, France.
Tulving et al. [Brain Cogn 8 (1988) 3-20] proposed an operational distinction concerning memory between a semantic component consisting of general information about the individual's past and an episodic component, containing memories of specific events that can be situated in space and time. After a mild head trauma and in the context of professional troubles, patient FF displayed a pure retrograde amnesia concerning both his biographical identity and semantic memories.
View Article and Find Full Text PDF[Clinical symptoms, pathopsychological peculiarities and mechanisms of biographic amnesia].
Zh Nevrol Psikhiatr Im S S Korsakova
February 2005
Clinical and pathopsychological analysis of 16 men, aged 15-53 years, was carried out. In premorbid stage, hysterical, hystero-epileptoid, schizoid, emotional-unstable features were found in 12 patients and personality accentuation--in 4 patients. There were the absence of marked cognitive disturbances and safety operational functions of intellect, i.
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