Outcome of Head Trauma: Age and Post-Traumatic Seizuress

BACKGROUND: The recurrent Heubner's artery is the distal part of the medial striate artery. Occlusion of the recurrent artery of Heubner, classically contralateral hemiparesis with fasciobrachiocrural predominance, is attributed to the occlusion of the recurrent artery of Heubner and is widely known as a stroke syndrome in adults. However, isolated occlusion of the deep perforating arteries following mild head trauma also occurs extremely rarely in childhood.CASE REPORT: Here we report the case of an 11-year-old boy with pure motor stroke. The brain MRI showed an acute ischemia in the recurrent artery of Heubner supply area following mild head trauma. His fasciobrachial hemiparesis and dysarthria were thought to be secondary to the stretching of deep perforating arteries leading to occlusion of the recurrent artery of Heubner.CONCLUSION: Post-traumatic pure motor ischemic stroke can be secondary to stretching of the deep perforating arteries especially in childhood.

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Post-Traumatic West Syndrome due to Abusive Head Trauma in Two Infants with Different Brain Imaging Findings

The Tohoku Journal of Experimental Medicine ◽

10.1620/tjem.250.167 ◽

2020 ◽

Vol 250 (3) ◽

pp. 167-171

Author(s):

Risa Takeda ◽

Satoru Kobayashi ◽

Naomi Kamioka ◽

Naoki Hamajima ◽

Kanji Muramatsu ◽

...

Keyword(s):

Brain Imaging ◽

Head Trauma ◽

Abusive Head Trauma ◽

West Syndrome ◽

Imaging Findings ◽

Post Traumatic

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121 Oviposit Dysgeusia; Head Trauma Induced Chemosensory Noisome Egg Dysgeusia: The Miasma of Dante’s Inferno-When Eggs Become Rotten

CNS Spectrums ◽

10.1017/s1092852920000395 ◽

2020 ◽

Vol 25 (2) ◽

pp. 278-279

Author(s):

Chevelle Winchester ◽

Alan Hirsch

Keyword(s):

Case Report ◽

Sodium Chloride ◽

White Matter ◽

Head Trauma ◽

Deep White Matter ◽

Post Traumatic ◽

Index 2 ◽

Chemosensory Function ◽

Taste And Smell ◽

Over Time

Introduction:Post-traumatic dysgeusia with conversion of the taste of eggs rotten eggs has not heretofore been described.Method:Case Report: A 60 year old right handed female 6 months prior to presentation sustained head trauma. Three days later she noted reduced taste and smell dysgeusia to eggs. Eggs tasted distorted, like rotten eggs. Raw egg whites had no smell or taste. Cooked egg whites had faint sulfur smell for 2-3 seconds and the taste of sulfur. Yolk of soft-boiled eggs, had no smell or taste. The white had no smell but an unbearable sulfur taste. Raw eggs had no smell. The yolk of hardboiled eggs had no smell and taste, the whites smelled and tasted like sulfur. Sunny side up eggs with yolk and white segregated had no smell but tasted, as they should. Sunny side up eggs with yolk and white mixed together has no smell but strong sulfur taste. Scrambled eggs had no smell but mild sulfur taste, which changed over time to a rotten egg smell and taste. With nose clips, scrambled eggs had 0/10 taste, without the nose clips the smell of sulfur was 3/10.Results:Olfaction: Normosmia to threshold and Retronasal Smell Index: 2 (abnormal): Gustatation : Normogeusia to all. Mild hypogeusia to sodium chloride. MRI: Multiple foci of periventricular and deep white matter demyelization.Discussion:Rotten egg smell maybe mediated through retro-nasal pathways, since nasal obstruction eliminated the rotten egg taste. Eggs can possibly be developed as a home device to assess chemosensory function.

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Head Injuries: A New Treatment for the Post-Concussive Syndrome

Journal of Mental Science ◽

10.1192/bjp.93.391.303 ◽

1947 ◽

Vol 93 (391) ◽

pp. 303-317 ◽

Cited By ~ 2

Author(s):

Helen S. E. Murray ◽

H. Halstead

Keyword(s):

Head Trauma ◽

Head Injuries ◽

Personality Change ◽

The Past ◽

Traumatic Neurosis ◽

Symptom Complex ◽

Post Traumatic ◽

New Treatment ◽

Persistent Disability ◽

The Brain

Gunshot and shrapnel wounds of the head during the war have produced various disabilities not commonly seen in the injuries of peace-time.The symptom complex which usually appears subsequent to head trauma has become very familiar during the past few years. The resemblance from case to case of certain sequelae to head injuries has been grouped together in syndromes, variously labelled post-concussive syndrome, post-traumatic personality change, post-traumatic neurosis and post-contusional state, all indicating an oft-recurring persistent disability following concussion of the brain.

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Post-traumatic cutaneous meningioma

The Journal of Laryngology & Otology ◽

10.1258/002221504322928035 ◽

2004 ◽

Vol 118 (3) ◽

pp. 228-230 ◽

Cited By ~ 11

Author(s):

Pepijn A. Borggreven ◽

Floris H. de Graaf ◽

Paul van der Valk ◽

C. René Leemans

Keyword(s):

Head Trauma ◽

Histopathological Examination ◽

Surgical Excision ◽

Surgical Removal ◽

Incisional Biopsy ◽

Rare Tumours ◽

Progressive Growth ◽

Post Traumatic

Cutaneous meningiomas are extremely rare tumours and their diagnosis is difficult. We describe the case of a patient who developed a paranasal swelling after head trauma and associated fractures in the same region years before. Histopathological examination of an incisional biopsy revealed the diagnosis of cutaneous meningioma. After one and a half years’ follow up, surgical excision was performed because of progressive growth of the tumour and associated aesthetic problems. Extracranial meningiomas can develop probably secondary to trapping of meningeal tissue after trauma. If there is no intracranial connection surgical removal can be considered.

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Cranioplasty for patients developing large cranial defects combined with post-traumatic hydrocephalus after head trauma

Brain Injury ◽

10.1080/02699050801958353 ◽

2008 ◽

Vol 22 (4) ◽

pp. 333-337 ◽

Cited By ~ 18

Author(s):

G. Li ◽

L. Wen ◽

R. Y. Zhan ◽

F. Shen ◽

X. F. Yang ◽

...

Keyword(s):

Head Trauma ◽

Post Traumatic

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Post-traumatic tension pneumocephalus and cystic angiomatosis of the skull: case report

The Egyptian Journal of Otolaryngology ◽

10.1186/s43163-021-00187-6 ◽

2021 ◽

Vol 37 (1) ◽

Author(s):

Haythem H. Osman ◽

Nazik E. Abdullah ◽

Ghada S. Alhassan ◽

Tarig A. Nafie ◽

Murtada I. Abdellatief ◽

...

Keyword(s):

Head Trauma ◽

Soft Tissues ◽

English Literature ◽

Tension Pneumocephalus ◽

Bony Lesions ◽

History Of ◽

Post Traumatic ◽

Temporal Bones ◽

Defective Bone ◽

Cystic Angiomatosis

Abstract Background Tension pneumocephalus is an increasing air trapped intracranially. Either spontaneous, post-traumatic or iatrogenic in origin. Cystic angiomatosis is a benign vascular hamartoma of the skeleton, when acquired it is either due to trauma or infection. This is the second report in English literature of post-traumatic delayed tension pneumocephalus with the development of cystic angiomatosis of the skull bone. Case presentation A 55-year-old gentlemen, presented with scalp swelling of 6-month duration with history of head trauma 2 years back. The swelling was increasing and associated with progressive walking difficulties and left hearing loss. CT scan and MRI revealed extradural pneumocephalus, parietal and occipital pneumatocele, and multiple lytic bony lesions, left mastoid hyperpneumatization with inner table defect communicating with the extradural space. Diagnosis of delayed extradural tension pneumocephalus was made. Surgical exploration revealed multiple bony defects of parietal, temporal and squamous part of left temporal bones, confirmed extradural pneumocephalus with intact dura. Repair of mastoid defect of (0.5 × 0.5 cm), excision of pneumatocele and removal of lytic bones were performed. Defective bone “cribriform-like” was identified at occipital and parietal regions centrally with a defect of nearly 7 × 7 cm. Future cranioplasty was considered after 6 months. Histology of bony chips and surrounding soft tissues is recognized as cystic angiomatosis. Conclusions The present case developed two very rare complications, following trivial head trauma; the first complication was delayed extradural tension pneumocephalus with pneumatocele which presented 2 years after trauma, the origin of air was from a defect of the inner table of the mastoid, the second complication was cystic angiomatosis of the skull bones. Both complications were managed surgically in one operative session as a combined neurosurgery and otolaryngology teams approach.

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