scholarly journals Subdural Effusions with Hydrocephalus after Severe Head Injury: Successful Treatment with Ventriculoperitoneal Shunt Placement: Report of 3 Adult Cases

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
N. Tzerakis ◽  
G. Orphanides ◽  
E. Antoniou ◽  
P. J. Sioutos ◽  
S. Lafazanos ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Head Injury ◽  
Ventriculoperitoneal Shunt ◽  
Severe Head Injury ◽  
Accurate Diagnosis ◽  
Subdural Effusion ◽  
Midline Shift ◽  
Subdural Collection ◽  
Csf Diversion ◽  
Subdural Effusions

Background. Subdural collections of cerebrospinal fluid (CSF) with associated hydrocephalus have been described by several different and sometimes inaccurate terms. It has been proposed that a subdural effusion with hydrocephalus (SDEH) can be treated effectively with a ventriculoperitoneal shunt (V-P shunt). In this study, we present our experience treating patients with SDEH without directly treating the subdural collection.Methods. We treated three patients with subdural effusions and hydrocephalus as a result of a head injury. All the patients were treated with a V-P shunt despite the fact that there was an extra-axial CSF collection with midline shift.Results. In all of the patients, the subdural effusions subsided and the ventricular dilatation improved in the postoperative period. The final clinical outcome remains difficult to predict and depends not only on the successful CSF diversion but also on the primary and secondary brain insult.Conclusion. Subdural effusions with hydrocephalus can be safely and effectively treated with V-P shunting, without directly treating the subdural effusion which subsides along with the treatment of hydrocephalus. However, it is extremely important to make an accurate diagnosis of an SDEH and differentiate this condition from other subdural collections which require different management.

scholarly journals Decompressive craniotomy: prognostic factors and complications in 89 patients

2008 ◽  
Vol 66 (2b) ◽  
pp. 369-373 ◽  
Author(s):  
Rodrigo Moreira Faleiro ◽  
Luiz Carlos Mendes Faleiro ◽  
Elisa Caetano ◽  
Isabella Gomide ◽  
Cristina Pita ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Head Injury ◽  
Severe Head Injury ◽  
Traffic Accidents ◽  
Acute Subdural Hematoma ◽  
Brain Swelling ◽  
Decompressive Craniotomy ◽  
Independent Test ◽  
Post Traumatic ◽  
Subdural Effusions

Decompressive craniotomy (DC) is applied to treat post-traumatic intracranial hypertension (ICH). The purpose of this study is to identify prognostic factors and complications of unilateral DC. Eighty-nine patients submited to unilateral DC were retrospectively analyzed over a period of 30 months. Qui square independent test and Fisher test were used to identify prognostic factors. The majority of patients were male (87%). Traffic accidents had occurred in 47% of the cases. 64% of the patients had suffered severe head injury, while pupillary abnormalities were already present in 34%. Brain swelling plus acute subdural hematoma were the most common tomographic findings (64%). Complications occurred in 34.8% of the patients: subdural effusions in 10 (11.2%), hydrocephalus in 7 (7.9%) and infection in 14 (15.7%). The admittance Glasgow coma scale was a statistically significant predictor of outcome ( p=0.0309).

Evaluation of apoptosis in cerebrospinal fluid of patients with severe head injury

2006 ◽  
Vol 148 (11) ◽  
pp. 1157-1164 ◽  
Author(s):  
M. Uzan ◽  
H. Erman ◽  
T. Tanriverdi ◽  
G. Z. Sanus ◽  
A. Kafadar ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Head Injury ◽  
Severe Head Injury

The Cerebrospinal Fluid Thromboxane A2 and Prostaglandin I2 Levels in Patients With Severe Head Injury

2003 ◽  
Vol 13 (2) ◽  
pp. 59-63 ◽  
Author(s):  
Mustafa Uzan ◽  
Taner Tanriverdi ◽  
Seval Aydin ◽  
Koray Gumustas ◽  
Ercan Tureci ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Head Injury ◽  
Severe Head Injury ◽  
Thromboxane A2 ◽  
Prostaglandin I2

Beta-endorphin in cerebrospinal fluid and serum after severe head injury

Neurosurgery ◽  
1990 ◽  
pp. 764 ◽  
Author(s):  
R S Zimmerman ◽  
R L Hayes ◽  
D L Morris ◽  
B G Lyeth ◽  
W L Dewey ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Head Injury ◽  
Severe Head Injury ◽  
Beta Endorphin

Cerebrospinal Fluid Adenosine Concentration and Uncoupling of Cerebral Blood Flow and Oxidative Metabolism after Severe Head Injury in Humans

Neurosurgery ◽  
1997 ◽  
Vol 41 (6) ◽  
pp. 1284-1292 ◽  
Author(s):  
Robert S.B. Clark ◽  
Joseph A. Carcillo ◽  
Patrick M. Kochanek ◽  
Walter D. Obrist ◽  
Edwin K. Jackson ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebrospinal Fluid ◽  
Cerebral Blood Flow ◽  
Head Injury ◽  
Oxidative Metabolism ◽  
Severe Head Injury ◽  
Adenosine Concentration

scholarly journals A study of correlation of degree of midline shift on computed tomography scan and Glasgow coma scale in patients of acute traumatic head injury

2021 ◽  
Vol 8 (10) ◽  
pp. 3075
Author(s):  
A. K. Chaurasia ◽  
Lalit Dhurve ◽  
Rajneesh Gour ◽  
Rajpal Kori ◽  
Avias K. Ahmad
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Glasgow Coma Scale ◽  
Severe Head Injury ◽  
Road Traffic ◽  
Midline Shift ◽  
Traumatic Head Injury ◽  
Cross Sectional ◽  
Common Cause ◽  
Coma Scale

Background: Traumatic brain injury is one of most common cause of death in road traffic accident. Most of these classified as mild injury, with approximately 20% classified as moderate to severe. Approximate 50% of the 150,000 trauma deaths every year are caused by head injury.Methods: A prospective cross-sectional study was conducted on 150 patients with a head injury admitted in the Hamidia hospital, Bhopal. The assessment of the severity of head injury using Glasgow coma scale (GCS) at the time of admission, follow up on 5 days and 15 days respectively. The collected data were transformed into variables, coded and entered in Microsoft excel. Data were analyzed and statistically evaluated using statistical package for the social sciences (SPSS)-PC-21 version.Results: Out of 150, a total of 115 patients had no midline shift while 35 patients were having midline shift. Severe head injury patients (GCS 3-8) were having more morbidity and mortality. Moderate head injury (GCS 9-13) was associated with good prognosis and low mortality. A greater degree of midline shift of (more than 5 mm) is indicated severe head injury and is significantly associated with morbid outcome and higher mortality.Conclusions: In our study, road traffic accidents is the most common cause of head injury, with males being affected more than females. The degree of midline shift on computed tomography (CT) scan head in patients with head injuries was found to be significantly associated with high mortality and morbidity.

scholarly journals Detectable concentrations of Fas ligand in cerebrospinal fluid after severe head injury

1997 ◽  
Vol 80 (1-2) ◽  
pp. 93-96 ◽  
Author(s):  
Wolfgang Ertel ◽  
Marius Keel ◽  
Reto Stocker ◽  
Hans-Georg Imhof ◽  
Marcel Leist ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Head Injury ◽  
Severe Head Injury ◽  
Fas Ligand
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