Acute Tissue Tear Hemorrhages of the Brain: Computed Tomography and Clinicopathological Correlations

Neurosurgery ◽  
1990 ◽  
Vol 27 (2) ◽  
pp. 208-213 ◽  
Author(s):  
James E. Wilberger ◽  
William E. Rothfus ◽  
Janet Tabas ◽  
Andrew L. Goldberg ◽  
Ziad L. Deeb
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Head Injuries ◽  
Diffuse Axonal Injury ◽  
Closed Head Injury ◽  
Sensitive Information ◽  
Computed Tomographic ◽  
Clinicopathological Correlations ◽  
Closed Head ◽  
The Brain

Abstract Tissue tear hemorrhages (TTHs) are often seen on high-resolution computed tomographic scans after closed head injury. Generally, TTHs have been thought to be visible manifestations of more severe forms of diffuse axonal injury and thus portend a poor prognosis. Computed tomographic scans from 600 patients with head injuries were reviewed: 48 (8%) were found to have TTHs. The clinical spectrum of TTHs was characterized. No direct relationship could be established between either the presence or the number of TTHs and the severity and/or outcome from the head injury in this group, except that patients with TTHs in both the brain stem and the corpus callosum uniformly had a poor outcome. Magnetic resonance imaging provided more sensitive information than computed tomography in evaluating TTHs.

scholarly journals Value of MRI in paediatric closed head injury

2003 ◽  
Vol 7 (1) ◽  
pp. 38-39
Author(s):  
Savvas Andronikou ◽  
Rudolf Boeddinghaus ◽  
Chris J. Welman
Keyword(s):  
Head Injury ◽  
Index Case ◽  
Brain Mri ◽  
Axonal Injury ◽  
Diffuse Axonal Injury ◽  
Closed Head Injury ◽  
Acute Head Injury ◽  
Closed Head ◽  
The Brain ◽  
Mr Sequences

Children (and less commonly adults) with a low level of conciousness following acute head injury who have a normal CT sean are often assumed to have diffuse axonal injury of the brain. MRI may be appropriate in the subacute setting as it may demonstrate findings highly suggestive of such injury, as well as other findings not identified on CT. These findings may aid clinicians in determining prognosis. We demonstrate typical findings on various MR sequences using an index case.

Inappropriate Discharge Instructions for Youth Athletes Hospitalized for Concussion

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 216-218
Author(s):  
Frank J. Genuardi ◽  
William D. King
Keyword(s):  
Head Injury ◽  
Injury Severity ◽  
Head Injuries ◽  
Closed Head Injury ◽  
Medical Society ◽  
Discharge Instructions ◽  
Youth Athletes ◽  
Closed Head Injuries ◽  
Closed Head ◽  
Grade 3

Objective. To evaluate the medical care, especially the discharge instructions regarding return to participation, received by youth athletes hospitalized for a closed head injury. Methods. We examined the records of all patients admitted over a 5-year period (1987 through 1991) to The Children's Hospital of Alabama for a sports-related closed head injury. Descriptive information was recorded and discharge instructions reviewed. Injury severity was graded according to guidelines current during the study period, as well as those outlined most recently by the Colorado Medical Society, which have been endorsed by a number of organizations including the American Academy of Pediatrics. Discharge instructions recorded for each patient were then compared with those recommended in the guidelines. Results. We identified 33 patients with sports-related closed head injuries. Grade 1 concussions (least severe) occurred in 8 patients (24.2%), grade 2 in 10 (30.3%), and grade 3 (most severe) in 15 (45.4%). Overall, discharge instructions were appropriate for only 10 patients (30.3%), including all with grade 1 concussions, but only 2 with a grade 2 (20.0%) and none with a grade 3 concussion. Conclusion. All who care for youth athletes must become familiar with the guidelines for management of concussion to provide appropriate care and counseling and to avoid a tragic outcome.

Cognitive test performances related to early and late computed tomography findings after closed-head injury

1992 ◽  
Vol 14 (4) ◽  
pp. 518-532 ◽  
Author(s):  
Juhani Vilkki ◽  
Peter Holst ◽  
Juha Öhman ◽  
Antti Servo ◽  
Olli Heiskanen
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Closed Head Injury ◽  
Cognitive Test ◽  
Closed Head

Demonstration of massive traumatic brain swelling within 20 minutes after injury

1977 ◽  
Vol 46 (2) ◽  
pp. 256-258 ◽  
Author(s):  
Arthur I. Kobrine ◽  
Eugene Timmins ◽  
Rodwan K. Rajjoub ◽  
Hugo V. Rizzoli ◽  
David O. Davis
Keyword(s):  
Head Injury ◽  
Closed Head Injury ◽  
Brain Swelling ◽  
Axial Tomography ◽  
Content Type ◽  
Closed Head ◽  
Vascular Dilatation ◽  
Computerized Axial Tomography ◽  
The Brain ◽  
Fine Print

✓ The authors documented by computerized axial tomography a case of massive brain swelling occurring within 20 minutes of a closed head injury. It is suggested that the cause of the brain swelling is acute vascular dilatation.

scholarly journals 44. Pathomorphological Studies on the Brain of so-called “Closed Head Injury” (1st Report)

1964 ◽  
Vol 6 (0) ◽  
pp. 87-87
Author(s):  
Michio INUI ◽  
Masatoshi MOROOKA ◽  
Yohsuke ARAI
Keyword(s):  
Head Injury ◽  
Closed Head Injury ◽  
Closed Head ◽  
The Brain

Neuroleptic Malignant Syndrome Complicating Closed Head Injury

Neurosurgery ◽  
1986 ◽  
Vol 18 (2) ◽  
pp. 190-193 ◽  
Author(s):  
Frederick M. Vincent ◽  
J. Eric Zimmerman ◽  
James Van Haren
Keyword(s):  
Creatine Kinase ◽  
Head Injury ◽  
Neuroleptic Malignant Syndrome ◽  
Complete Resolution ◽  
Head Injuries ◽  
Closed Head Injury ◽  
Treatment Modalities ◽  
Dantrolene Sodium ◽  
Closed Head Injuries ◽  
Closed Head

Abstract Lethargy, hyperpyrexia, tremor, and rigidity associated with leukocytosis and elevation of the creatine kinase level occurred in a patient with a closed head injury who was being treated with haloperidol for control of agitation. This constellation of symptoms, known as the neuroleptic malignant syndrome (NMS), partially improved when the neuroleptic medication was stopped, but complete resolution of the syndrome did not occur until the patient was treated with bromocriptine. Because haloperidol is the most widely used medication for the agitation that develops in patients with significant closed head injuries, neurosurgeons should be aware of the NMS. The NMS is caused by neuroleptic medications and may initially present with unexplained hyperpyrexia, leukocytosis, and elevated creatine kinase levels. Halting the neuroleptic, supportive care, and the use of dantrolene sodium and bromocriptine are the treatment modalities of choice for this syndrome, which has a mortality rate of 20 to 30% and may be linked to malignant hyperthermia.

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