Brain Damage in Fatal Non-Missile Head Injury in Relation to Age and Type of Injury

1989 ◽  
Vol 34 (1) ◽  
pp. 399-401 ◽  
Author(s):  
J.H. Adams ◽  
D. Doyle ◽  
I. Ford ◽  
D.I. Graham ◽  
M. McGee ◽  
...  
Keyword(s):  
Head Injury ◽  
Brain Damage ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Diffuse Axonal Injury ◽  
Diffuse Brain Swelling ◽  
Type Of Injury ◽  
The Relationship ◽  
Diffuse Brain

Brain damage in a series of 635 fatal non-missile head injuries has been analysed with particular reference to the age of the patient and the type of injury. The differences in the type of brain damage in relation to age were less than we had anticipated, lending further support to the contention that the aged brain has a reduced potential for recovery. The analysis confirms the relationship between road traffic accidents, diffuse axonal injury, gliding contusions and ‘basal ganglia’ haematomas, and the importance of diffuse brain swelling resulting from a head injury in children.

scholarly journals DEMOGRAPHIC STUDY OF DEATHS DUE TO ROAD TRAFFIC ACCIDENTS, EXAMINED IN DR. S.N. MEDICAL COLLEGE, JODHPUR (RAJ.)

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Kana Ram Patel ◽  
Jagdish Jugtawat ◽  
Shalender Kumar ◽  
P.C. Vyas
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Subdural Hemorrhage ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Female Ratio ◽  
Medical College ◽  
Male To Female

Accidents are not due to external factors all the time but often they occur due to failure of control of self-conscience and free thoughts. Road Traffic Accidents is still the major cause of death worldwide including India. A retrospective study has been conducted in Dr. S.N. Medical College, Jodhpur (Raj.), in the year 2019 to study the pattern and distribution of Head Injuries of fatal road traffic accidents and to prepare the demographic profile of it. Out of total 901 cases, male to female ratio was 9:1, and commonest age group affected was 21-30 years (39.8%). Among total victims, Hindus were 748 (83%) and rests were Muslims 103 (11.4%) and other religions. Head injury was the most common injury, present alone in 509 cases (56.4%) and in 392 (43.6) cases along with other injuries. Skull fractures were found in 451 (50.5), in which linear/fissure fracture (32.9%) was most common. Most common bone fractured was temporal bone. The commonest variety of intracranial hemorrhage was subdural hemorrhage and craniotomy was done in 29 (3.2%) cases. Keywords: Accidents, Road traffic, Head injury, Fractures.

Acute subdural hematoma and diffuse axonal injury after severe head trauma

1988 ◽  
Vol 68 (6) ◽  
pp. 894-900 ◽  
Author(s):  
Juan Sahuquillo-Barris ◽  
Jose Lamarca-Ciuro ◽  
Jorge Vilalta-Castan ◽  
Enrique Rubio-Garcia ◽  
Manuel Rodriguez-Pazos
Keyword(s):  
Head Injury ◽  
Subdural Hematoma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Axonal Injury ◽  
Diffuse Axonal Injury ◽  
Acute Subdural Hematoma ◽  
Content Type ◽  
Hypoxic Brain ◽  
Clinicopathological Findings

✓ The association of acute subdural hematoma (SDH) and diffuse axonal injury has received little attention in the literature. The authors report the clinicopathological findings in six patients who died of severe head injury in whom computerized tomography revealed acute SDH as the predominant lesion. All patients were injured in road traffic accidents and lost consciousness on impact. The mean total contusion index was 17.4 and severe contusions were seen in only two cases. All patients presented histological criteria of intracranial hypertension (pressure necrosis focus in one or both parahippocampal gyri). Hypoxic brain damage was evident in the postmortem examination of three patients. In three cases, macroscopic hematic lesions were observed in the corpus callosum. All patients had widespread axonal retraction balls disseminated in the white brain matter. Three patients who survived for more than 11 days had microglial clusters. In some patients with a head injury, acute SDH may be only an epiphenomenon of a primary impact lesion of variable severity: that is, a diffuse axonal injury. In these cases, the final outcome is fundamentally dependent on the severity of the subjacent diffuse axonal injury.

Trends in admission and death rates due to paediatric head injury in England, 2000–2011

2015 ◽  
Vol 100 (12) ◽  
pp. 1136-1140 ◽  
Author(s):  
Robin Marlow ◽  
Julie Mytton ◽  
Ian K Maconochie ◽  
Hazel Taylor ◽  
Mark D Lyttle
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Hospital Admissions ◽  
Road Traffic ◽  
Head Injuries ◽  
National Guidelines ◽  
Number Of Children ◽  
Risk Of Death ◽  
Paediatric Head Injury ◽  
The Uk

BackgroundThe number of children admitted to hospital is increasing year on year, with very short-stay admissions doubling in the last decade. Childhood head injury accounts for half a million emergency department attendances in the UK every year. The National Institute for Health and Care Excellence (NICE) has issued three iterations of evidence-based national guidance for head injury since 2003.ObjectivesTo assess if any changes in the rates of admission, death or causes of head injury could be temporally associated with the introduction of sequential national guidelines by longitudinal analysis of the epidemiology of paediatric head injury admissions in England from 2000 to 2011.MethodsRetrospective analysis of English Hospital Episode Statistics data of children under the age of 16 years old admitted to hospital with the discharge diagnosis of head injury.ResultsThe number of hospital admissions with paediatric head injury in England rose by 10% from 34 150 in 2000 to 37 430 in 2011, with the proportion admitted for less than 1 day rising from 38% to 57%. The main cause of head injury was falls (42–47%). Deaths due to head injury decreased by 52% from 76 in 2000 to 40 in 2011. Road traffic accidents were the main cause of death in the year 2000 (67%) but fell to 40% by 2011. In 2000, children who were admitted or died from head injuries were more than twice as likely to come from the most deprived homes compared with least deprived homes. By 2011, the disparity for risk of admission had narrowed, but no change was seen for risk of death.ConclusionsTemporal relationships exist between implementation of NICE head injury guidance and increased admissions, shorter hospital stay and reduced mortality. The underlying cause of this association is likely to be multifactorial.

scholarly journals Study of cases of head injury in a government hospital in rural Indian setting

2018 ◽  
Vol 5 (10) ◽  
pp. 3252
Author(s):  
Vinod Pusdekar ◽  
Sandeep Ambedkar ◽  
Ritesh Bodade
Keyword(s):  
Head Injury ◽  
Ct Scan ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Government Hospital ◽  
History Of ◽  
Gcs Score

Background: Head injury can be defined as trauma in which the head is struck or moves violently, resulting in transient or permanent alteration of consciousness of an individual. We profiled and analyzed the cases of head injuries reporting to a government hospital a rural Indian setting.Methods: All the patients with history of antecedent head injury were firstly assessed by detailed history, with emphasis on history of unconsciousness/vomiting/convulsions/ENT bleed. Then a thorough clinical examination was undertaken, including Glasgow Coma Scale (GCS) scoring. Further, all the patients were subjected to CT scan of head for correlation of clinical findings, confirmation of diagnosis, delineation of extent of disease and suitability of operative intervention etc.Results: Majority of the patients belonged to 15-44 years age group (30, 60%) and were males (38, 76%). Road traffic accidents accounted for majority (38, 76%) of the cases. GCS score was found to range between 13-15 (mild) in 18 (36%) patients, 9-12 (moderate) in 21 (42%) patients and 3-8 (severe) in 11 (22%) patients. Best recovery (88%) was shown by patients of GCS score between 13-15. Among the critical symptoms and signs, unconsciousness and abnormal plantar reflex were the commonest ones. Generalized cerebral edema without associated lesion (50%) was the commonest finding followed by extradural hematoma (EDH) (40%) on CT scan of head. As for recovery w.r.t. CT scan findings, highest rate of recovery (100%) was reported in patients with fracture without intracranial pathology, while highest mortality was reported in those having mixed lesion (90%).Conclusions: Road traffic accidents in young age group is the commonest mode of head injury and GCS score is a good predictor of recovery in head injury cases.

scholarly journals Analytical report on post traumatic hydrocephalus

YMER Digital ◽  
2022 ◽  
Vol 21 (01) ◽  
pp. 144-147
Author(s):  
R Srinivas ◽  
◽  
Mohamed Naleer ◽  
Kishore Kumar ◽  
◽  
...  
Keyword(s):  
Head Injury ◽  
Ct Scan ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Clinical Analysis ◽  
Medical College ◽  
Fall From Height ◽  
Post Traumatic ◽  
Set Up

Post-traumatic hydrocephalus (PTH) is a field and disorder less explored in neurosurgery though we see many cases. The commonest causes in our set up includes head injury for which people have undergone decompressive craniectomies, severe head injuries with raised ICP. We did a clinical analysis on 23 cases in a period of 3 years duration from 2018 -2021. We did Evd in few cases for emergency purposes when there was decerebration and we went ahead with VP shunt in all the patients who had gross ventricular dilatation. We have projected our analytical report in these cases. METHODS A retrospective study was conducted in the Department of Neurosurgery in Sri Ramachandra medical college. The clinical outcome of patients diagnosed with PTH was studied. These cases were treated by surgery. The stastical analysis along with cause of the hydrocephalus with the outcome in pre and postoperative period were studied. RESULTS Among the 23 patients studied 82% were males. Road traffic accident was the main cause of injury. The other main cause was a fall from height. Assault was another reason for head injuries which we recorded. We found all road traffic accidents were only because of bike riders either pillion or the people driving the vehicle. . Craniotomy was done in 50 % of the patients, 90 % of the patients recovered who had a gcs of 13 to 7. People with gcs lss than 7 were intubated recovery rate was 7.5 %. . There was 100%mortality because of primary head injury in all the patients who had brain stem contusions with dilated pupil. CONCLUSIONS Trauma to head and who were operated had the highest incidence of post tramatic head injury. Smaller the decompressive craniectomies had symptomatic post traumatic head ache with post traumatic hydrocephalus.. CT scan of the brain is considered the choice of investigation toearly diagnose PTH.we even analysed the ct scan and found when there was periventricular lucency the patient outcome after VP shunting is good. KEY WORDS Hydrocephalus, Head Injury, Trauma

scholarly journals Acute subdural hematoma and diffuse axonal injury in fatal road traffic accident victims: a clinico-pathological study of 15 patients

2003 ◽  
Vol 61 (3B) ◽  
pp. 746-750 ◽  
Author(s):  
Sebastião Nataniel Silva Gusmão ◽  
José Eymard Homem Pittella
Keyword(s):  
Head Injury ◽  
Hospital Admission ◽  
Subdural Hematoma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Axonal Injury ◽  
Diffuse Axonal Injury ◽  
Acute Subdural Hematoma ◽  
Road Traffic Accidents ◽  
Pathological Study

OBJECTIVE: Although acute subdural hematoma (ASDH) and diffuse axonal injury (DAI) are commonly associated in victims of head injury due to road traffic accidents, there are only two clinico-pathological studies of this association. We report a clinical and pathological study of 15 patients with ASDH associated with DAI. METHOD: The patients were victims of road traffic accidents and were randomly chosen. The state of consciousness on hospital admission was evaluated by the Glasgow coma scale. For the identification of axons the histological sections of the brain were stained with anti-neurofilament proteins. RESULTS: Twelve of the 15 patients were admitted to hospital in a state of coma; in three patients, the level of consciousness was not evaluated, as they died before hospital admission. CONCLUSION: The poorer prognosis in patients with ASDH who lapse into coma immediately after sustaining a head injury, as described by several authors, can be explained by the almost constant association between ASDH and DAI in victims of fatal road traffic accidents.

scholarly journals Geriatric head injuries: impact and outcomes

2019 ◽  
Vol 7 (9) ◽  
pp. 3461
Author(s):  
Vallabh B. Nagocha ◽  
Manish Yadav ◽  
Divyam Sharma ◽  
Sunil Garg
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Treatment Options ◽  
Head Injuries ◽  
Diffuse Axonal Injury ◽  
The Elderly ◽  
Trauma Patients ◽  
Post Injury ◽  
Factors Affecting ◽  
The Impact

Background: Elderly trauma patients present unique challenges and face  more  significant obstacles in  recovery  than  their younger  counterparts. They usually experience higher morbidity and mortality and slower recovery trajectories and have, on average, worse functional, cognitive, and psychosocial outcomes months or years post-injury than do younger patients.Methods: Authors conducted a study of elderly head injury patients to understand the epidemiology of geriatric TBI, the impact of comorbidities and management issues and  outcomes in such patients. Authors had a total of 110 patients who presented with traumatic brain injury and were admitted in this hospital over 2 years. Authors also reviewed the literatures to study the factors affecting outcome after geriatric TBI and studied the role of aggressive neurosurgical management in geriatric TBI.Results: Among 68%(n=75) of the patients were male and 32% females. Age group of 60-65 years was the highest with 60.9% patients. Patients with GCS of 8 and below had the highest mortality rates of 68 %. Overall  mortality  rate  was  32.72%  and  9.09 %  of  the patients survived in a vegetative condition. The proportion of injury secondary to fall was the largest single group in 50.9% patients, and Chronic SDH was the most common pathology seen in 36.45 % patients. Highest mortality was seen in patients with Diffuse Axonal Injury (69.23 %). Out of the 110 patients , 57 patients underwent surgery for various pathologies. Chronic SDH were the most common operated pathology followed by acute SDH. Glassgow outcome scale was used as the measure of outcome in these series of patients.  32.72 % patients had a GOS score of 1 and 9.09 % had a score of 2. 18.18 % patients remained severely disabled with a score of 3 and nine patients (8.18 %) had a score of 4 and thirty five patients had good recovery (GOS-5).Conclusions: Due to the better treatment options there is an increase in the number of elderly around the world. Thus, the number of eldery individuals presenting with TBI to the emergency department is also on the rise more commonly due to falls than road traffic accidents. There is a need for specific prognostic and management guidelines for the elderly which can lead to better diagnosis, care and recovery and eventual short- and long-term outcomes in the elderly.

Crash Kinematics and Injury Criteria Validation for a Deformable Hybrid Vehicle Model

2014 ◽  
Vol 663 ◽  
pp. 627-631
Author(s):  
Kausalyah Venkatason ◽  
Kassim A. Abdullah ◽  
Shasthri Sivaguru ◽  
Moumen M. Idres ◽  
Qasim H. Shah ◽  
...  
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Hybrid Vehicle ◽  
Motor Vehicles ◽  
Body Parts ◽  
Vehicle Model ◽  
Injury Criteria ◽  
Head Injury Criteria

Pedestrians are vulnerable road users who are at high risks in a road traffic collision with motor vehicles. A large number are getting killed in traffic accidents each year, the majority of them being children and senior citizens. During impact with an automobile, pedestrians suffer multiple impacts with the bumper, hood and windscreen. Fatality is seen mostly due to the head injuries obtained by the pedestrians. Thus this paper aims to introduce the development and validation of a simplified hybrid vehicle front end profile for the mitigation of head injury. The vehicle model is represented by a multi body windscreen and finite element cowl, hood and bumper. A two step validation procedure is performed, firstly the crash kinematics validation to determine the overall kinematics and fall pattern of the pedestrian during impact. Secondly, the hybrid vehicle model is tested against the pedestrian injury criteria values for pertinent body parts namely the neck, sternum, lumbar, femur and tibia. The hybrid vehicle model is made to impact an adult human dummy model obtained from TNO (TASS Netherlands). The injury criterias are reprensented through the Head Injury Criteria (HIC), neck compression force, sternum and tibia accelerations and lumbar and femur bending moments. The simulation results were compared to the experimental values and a good correlation was achieved.

scholarly journals Bilateral traumatic basal ganglia haemorrhage, a rare entity

2019 ◽  
pp. 310-315
Author(s):  
Vibhu Shankar Parashar ◽  
Vivek Kumar Kankane ◽  
Gaurav Jaiswal ◽  
Tarun Kumar Gupta
Keyword(s):  
Basal Ganglia ◽  
Head Injury ◽  
World Literature ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Case Reports ◽  
Diffuse Axonal Injury ◽  
Closed Head Injury ◽  
Rare Entity ◽  
History Of

Aims. Traumatic basal ganglia haemorrhage is rare entity but post traumatic bilateral basal ganglia hematoma is even extremely rare and was earlier presented as case reports. Its incidence is about 3% after a closed head injury however, the incidence is higher in post mortem studies. Material & Methods. Out of 1485 head injury patients admitted to our institute from January 2012 to January 2019, there were 9 cases of traumatic bilateral basal ganglia haemorrhage. The incidence of traumatic bilateral basal ganglia Haemorrhage in our series is 0.61% which is very less compared to previous literature. Results. There were 6 males and 3 females; age ranging from 19 to 50 years (average 32 years). Patients with hypertension, history of drugs abuse, history of coagulopathy, with doubtful history of trauma or unknown mode of injury were excluded from the study. The mode of injury in all the patients was road traffic accidents. Average follow up was 9.54 months. Outcome was assessed by Glasgow outcome Score. In 8 out of 9 patients, outcome was good. One patient died. All the nine cases were managed conservatively. Conclusion. We report nine cases from a single institute which to the best of our knowledge is the largest series in world literature. Prognosis is variable and dependent on many factors. The prognosis of TBGH is favourable if not associated with other disorders like hypertension, diabetes mellitus, and coagulation disorders or diffuse axonal injury.

scholarly journals Hubungan Penggunaan Helm dengan Derajat Cedera Kepala Akibat Kecelakaan Lalu Lintas pada Pengendara Sepeda Motor di RSUP Dr. M. Djamil Padang Tahun 2016-2017

2021 ◽  
Vol 1 (3) ◽  
pp. 352-357
Author(s):  
Sharon Serafim Bosawer ◽  
Rizki Rahmadian ◽  
Zelly Dia Rofinda
Keyword(s):  
Head Injury ◽  
Traffic Accidents ◽  
Head Injuries ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Chi Square Test ◽  
The Impact ◽  
The Relationship

Background. Traffic accidents are a public health problem in the world, and the main cause of head injury cases with the main contributor is motorcycle riders. The use of helmets on motorcycle riders can reduce the risk of head injury, by reducing the impact force on the head. Objective. The objective of this study is to determine the relationship between the use of helmet and the degree of head injury due to a traffic accidents on motorcyclists at RSUP Dr. M. Djamil Padang in 2016-2017. Methods. This study was an analytic study with cross sectional design.The sample was conducted by probability sampling technique using random sampling with 93 samples. Data were obtained from medical records of head injury patients who suffered traffic accidents using motorcycle and treated at RSUP Dr. M. Djamil Padang in 2016-2017. Data were analyzed using chi square test. Results. The results showed man (67,7%), did not use helmet (72%), and most types of head injuries are severe head injuries (50,5%. There was a significant relationship between the use of helmets with the degree of head injury due to traffic accidents on motorcycle riders (p=0,002). Conclusion. There was a relationship between the use of helmets on motorcycle riders with the degree of head injury due to traffic accidents. Keyword : Traffic acidents, head injury, helmet

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