Up to a fifth of Accident and Emergency admissions are head-injury related. Alcohol is involved in a large proportion of adult head injuries and although the incidence of death due to head injury (HI) is relatively low, long-term sequelae including cognitive disturbance are frequent. Contrecoup contusions (CCs) have been observed commonly in closed head injuries and may be an independent factor in long-term neuro-disability. The mechanisms of their formation are still under debate. The aim of this study was to define the relationship between the direction of the blow to the head and the location of brain contusion after HI. The location of scalp injuries was used as a surrogate for the direction of the blow to the head. Between January 2007 and March 2009, 358 cases of HI were treated at the Newcastle Neurosurgery Unit. Of these, 129 had contusions. Of these, 100 scans were available. The site of scalp injury could be identified in 98 cases and these were used for the study. Sixty-six percent of scalp injuries were to the back of the head. Most contusions (77%) were contracoup affecting the frontal and temporal lobes. Sixty percent of the injuries were inflicted by a fall from a standing position striking the back of the head on a paved surface, most commonly in the context of assaults or fighting.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3109/02688697.2010.548879 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Radiological findings on computed tomography examinations of adult patients in the emergency department of a tertiary care hospital.
Radiol Bras
January 2025
Escola de Medicina - Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil.
Objective: To identify and analyze the main findings on computed tomography (CT) scans ordered in the emergency department of a tertiary care hospital.
Materials And Methods: This was a cross-sectional observational study conducted through analysis of CT scans of the head, chest, and abdomen of all patients admitted to the emergency department of a tertiary care hospital over a period of four months.
Results: Among a sample of 331 patients, pathological radiological findings were observed in 59.
Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio correlate with the occurrence and prognosis of progressive hemorrhagic injury in patients with traumatic brain injury.
Am J Transl Res
December 2024
Department of Neurosurgery, The First Medical Center of Chinese PLA General Hospital Beijing, China.
Objective: To identify risk factors associated with progressive hemorrhagic injury (PHI) in patients with isolated traumatic brain injury (TBI) and to develop prognostic models for predicting patient outcomes.
Methods: A total of 137 patients with isolated TBI who underwent additional CT scans were included in the retrospective study. Single-factor analysis and multivariate logistic regression analysis were performed to identify significant risk factors associated with PHI development.
Dura fenestration is non-inferior and with lower complication incidence compared to augmented duraplasty in decompressive craniectomy.
J Clin Neurosci
January 2025
Department of Neurosurgery, Shaare Zedek Medical Center, Jerusalem, Israel.
Decompressive craniectomy is a procedure for managing elevated intracranial pressure (ICP). However, it carries a high morbidity and mortality toll. While there is relative consensus regarding the bony part of the decompression, the role of dura opening and the optimal technique to perform it are under debate.
View Article and Find Full Text PDFAutomated quantification of axonal and myelin changes in contusion, dislocation, and distraction spinal cord injuries: Insights into targeted remyelination and axonal regeneration.
Brain Res Bull
January 2025
Key Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, Beihang University - Yifu Science Hall, 37 Xueyuan Road, Haidian, Beijing 100191, China. Electronic address:
Quantifying axons and myelin is essential for understanding spinal cord injury (SCI) mechanisms and developing targeted therapies. This study proposes and validates an automated method to measure axons and myelin, applied to compare contusion, dislocation, and distraction SCIs in a rat model. Spinal cords were processed and stained for neurofilament, tubulin, and myelin basic protein, with histology images segmented into dorsal, lateral, and ventral white matter regions.
View Article and Find Full Text PDFEarly case series with placement of NeuroOne Evo stereoelectroencephalography depth electrodes and review of other Food and Drug Administration-approved products.
Surg Neurol Int
December 2024
Department of Neurosurgery, University of California, Irvine, Orange, United States.
Background: Stereoelectroencephalography (SEEG) is a common diagnostic surgical procedure for patients with medically refractory epilepsy. We aimed to describe our initial experience with the recently released NeuroOne Evo SEEG electrode product (Zimmer Biomet, Warsaw, IN) and review technical specifications for other currently approved depth SEEG electrodes.
Methods: We performed a record review on the first five patients implanted with NeuroOne Evo SEEG electrode product using the robotic stereotactic assistance robot platform and described our surgical technique in detail.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!