Neonatal Head Injuries Revisited

2009 ◽  
Vol 54 (2) ◽  
pp. 34-36 ◽  
Author(s):  
J King ◽  
G Haddock
Keyword(s):  
Retrospective Study ◽  
Head Injury ◽  
Data Collection ◽  
Head Injuries ◽  
Structured Data ◽  
Ct Scans ◽  
Skull Fractures ◽  
Accidental Injury ◽  
Non Accidental Injury ◽  
Surgical Unit

Background Between 1999 and 2005, 51 neonates were admitted to the regional Neonatal Surgical Unit (NSU), Glasgow with a diagnosis of head injury. The aim of this retrospective study was to compare this cohort with those from an earlier review of similar cases. Methods and Results Cases were reviewed using a structured data collection proforma. Information obtained was then compared with the results of an identical review carried out in the same Unit between 1990 and 1996. In the present series, the majority of the injuries were caused by a fall (n=39 [78%]) and resulted in scalp haematomata (n=31 [62%]) and associated skull fractures (n=30 [60%]). Only one patient required significant intervention. Conclusion Comparing the two study periods, there has been a marked increase in the number of cases admitted with a diagnosis of head injury (n=51 v n=25). There has also been an increase in the number of intracranial haemorrhages reported, associated with an increase in the number of CT scans performed. Non-accidental injury remains uncommon in this patient group. Outcome was excellent for all patients.

scholarly journals Imaging the infant with a head injury: a single-centre retrospective study

2020 ◽  
Vol 4 (1) ◽  
pp. e000779
Author(s):  
Daniel Braunold ◽  
Hannah Lewis ◽  
Breda O'Neill ◽  
Naomi Edmonds
Keyword(s):  
Retrospective Study ◽  
Head Injury ◽  
Major Trauma ◽  
Risk Group ◽  
Trauma Centre ◽  
High Risk Group ◽  
Single Centre ◽  
Accidental Injury ◽  
Major Trauma Centre ◽  
Non Accidental Injury

Head injury is the largest cause of mortality in paediatric trauma. Infants (<1 year old) are a high-risk group and vulnerable to non-accidental injury. A single-centre retrospective study at a major trauma centre collected data on infants presenting with a head injury over a 48-month period. 1127 infants presented with a head injury. 135 CT heads were performed. 38% of scans showed intracranial pathology. The decision about which infants to send for CT scans remains complex. Liberal use risks over-exposure to ionising radiation while restrictive use may miss subtler injuries.

scholarly journals To study the association of CSF leak in fronotbasal skull fractures classified with the Burstein’s classification

2018 ◽  
Vol 5 (1) ◽  
pp. 126
Author(s):  
Raunaq S. Chhabra ◽  
Vinayak V. Raje ◽  
Pandurang S. Barve ◽  
Sunil R. Yadav
Keyword(s):  
Statistical Analysis ◽  
Head Injury ◽  
Data Collection ◽  
Head Injuries ◽  
Csf Leak ◽  
Type I ◽  
Skull Fractures ◽  
Type Ii ◽  
Post Traumatic ◽  
A Prospective Study

Background: To study the association of CSF leak in Fronotbasal skull Fractures classified with the Burstein’s Classification.Methods: A prospective study was conducted from November 2014 to May 2016 in patients admitted with head injuries to KIMSDU, Karad, Maharashtra. All data was retrieved using a standardized data collection form.Results: Out of the total 55 patients of frontobasal fracture, 39 (70.9%) were found to have CSF leak. Out of 39 patients with CSF leak 34 (61.8%) had Type I head injury, 3 (5.5%) had Type II head injury, and 2 (3.6%) had Type III head injury. Statistical analysis showed significant association between CSF leak and Burstein’s classes of head injury patients (p< 0.05).Conclusions: It was found that patients who had Burstein Type I injuries had a higher chance of CSF leak and most post traumatic leaks could be managed conservatively.

Prophylactic phenytoin in severe head injuries

1979 ◽  
Vol 51 (4) ◽  
pp. 507-509 ◽  
Author(s):  
Richard N. W. Wohns ◽  
Allen R. Wyler
Keyword(s):  
Retrospective Study ◽  
Head Injury ◽  
High Probability ◽  
Late Onset ◽  
Head Injuries ◽  
Content Type ◽  
Posttraumatic Epilepsy ◽  
Fine Print

✓ We are reporting a retrospective study of 62 patients whose head injury was sufficiently severe to cause a high probability of posttraumatic epilepsy. Of 50 patients treated with phenytoin, 10% developed epilepsy of late onset. Twelve patients not treated with phenytoin but who had head injuries of equal magnitude had a 50% incidence of epilepsy. These data from a highly selected group of patients with severe head injuries confirm the bias that treatment with phenytoin decreases the incidence of posttraumatic epilepsy.

A study of pattern of skull fractures in head injuries-a retrospective study of autopsies conducted at RIMS, Raichur

2019 ◽  
Vol 10 (2) ◽  
pp. 06-09
Author(s):  
Praveen Kumar ◽  
◽  
Abhinandana R ◽  
Ravi Shankar MG ◽  
Suarj . ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Head Injuries ◽  
Skull Fractures

scholarly journals Head Injury and Mental Handicap

1983 ◽  
Vol 76 (7) ◽  
pp. 545-549 ◽  
Author(s):  
E O Akuffo ◽  
P E Sylvester
Keyword(s):  
Head Injury ◽  
Brain Function ◽  
Neurological Deficits ◽  
Pathological Study ◽  
Accidental Injury ◽  
Mental Handicap ◽  
Epileptic Patients ◽  
Non Accidental Injury ◽  
The Brain ◽  
Stay Hospital

A clinical and pathological study of head injury and the implications in mental handicap are outlined. Non-accidental injury as a form of child abuse is suspected as contributing considerably to the cause of mental handicap in populations resident in long-stay hospital, but this is unlikely to be the best environment for such patients. A number of mentally handicapped epileptic patients who injure their heads during fits and patients who repeatedly bang their heads as a feature of self-injurious behaviour are exposed to progressive neurological deficits associated with lesions in the brain which could further impair the efficiency of brain function.

scholarly journals Variations in the Presentation of Aphasia in Patients with Closed Head Injuries

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
Dara Oliver Kavanagh ◽  
Conor Lynam ◽  
Thorsten Düerk ◽  
Mary Casey ◽  
Paul W. Eustace
Keyword(s):  
Head Injury ◽  
Early Recognition ◽  
Head Injuries ◽  
Closed Head Injury ◽  
Favourable Outcome ◽  
Speech And Language ◽  
Closed Head Injuries ◽  
Closed Head ◽  
The Common ◽  
Surgical Unit

Impairments of speech and language are important consequences of head injury as they compromise interaction between the patient and others. A large spectrum of communication deficits can occur. There are few reports in the literature of aphasia following closed head injury despite the common presentation of closed head injury. Herein we report two cases of closed head injuries with differing forms of aphasia. We discuss their management and rehabilitation and present a detailed literature review on the topic. In a busy acute surgical unit one can dismiss aphasia following head injury as behaviour related to intoxication. Early recognition with prolonged and intensive speech and language rehabilitation therapy yields a favourable outcome as highlighted in our experience. These may serve as a reference for clinicians faced with this unusual outcome.

Moderate head injury: a guide to initial management

1992 ◽  
Vol 77 (4) ◽  
pp. 562-564 ◽  
Author(s):  
Sherman C. Stein ◽  
Steven E. Ross
Keyword(s):  
Head Injury ◽  
Head Injuries ◽  
Ct Scanning ◽  
Ct Scans ◽  
Initial Examination ◽  
Content Type ◽  
Injury Group ◽  
Intracranial Lesions ◽  
Gcs Score ◽  
Fine Print

✓ The purpose of this study is to determine the initial treatment of patients who appear to have sustained moderate head injuries when first evaluated. The authors reviewed the records of 341 patients whose initial Glasgow Coma Scale (GCS) scores ranged from 9 to 12, as well as another 106 patients with GCS scores of 13. All patients underwent cranial computerized tomography (CT) at the time of admission. In 40.3% of these patients the CT scans were abnormal (30.6% had intracranial lesions), and 8.1 % required neurosurgical intervention (craniotomies for hematoma in 12, elevation of depressed fractures in five, and insertion of intracranial pressure monitors in 19). Four patients died of their intracranial injuries. A similar incidence of lesions found on CT and at surgery suggests that an initial GCS score of 13 be classified with the moderate head injury group. Skull fractures were found to be poor indicators of intracranial abnormalities. These results suggest that all patients with head injury thought to be moderate on initial examination be admitted to the hospital and undergo urgent CT scanning. Patients with intracranial lesions require immediate neurosurgical consultation, surgery as needed, and admission to a critical-care unit. Scans should be repeated in patients whose recovery is less rapid than expected and in all patients with evidence of clinical deterioration; this was necessary in almost half of the patients in this group, and 32% were found to have progression of radiological abnormalities on serial CT scans.

scholarly journals Case Report: Two cases of rare head injuries from Nepal

F1000Research ◽  
2021 ◽  
Vol 7 ◽  
pp. 1483
Author(s):  
Joe M. Das ◽  
Apar Pokharel ◽  
Rashmi Sapkota ◽  
Manish Mishra ◽  
Ashish Babu Aryal
Keyword(s):  
Head Injury ◽  
Case Reports ◽  
Head Injuries ◽  
Neurological Deficits ◽  
Accidental Injury ◽  
First Case ◽  
Aged Woman ◽  
The Face ◽  
Middle Aged Woman ◽  
The Impact

Background: There are a number of ways in which one can sustain a head injury. Even if you are doing simple household activities or going out for a morning walk, you cannot be sure of what type of injury awaits you. The source of injury may be a pressure cooker whistle acting as a projectile or a hailstone falling from the sky. Such injuries are common in Nepal, considering the socio-demographic and geographic conditions. In this article, we present two such very rare cases of head injury. Case Reports: The first case is a middle-aged woman who sustained an accidental injury to the face associated with fracture of frontal sinus and frontal contusion, following the impact from a high momentum projectile in the form of the pressure regulator of a pressure cooker. She underwent craniotomy and removal of the foreign body. In the second case, an elderly man sustained minor injury to the head following the fall of hail. The abrasions and contusions produced by the hail were managed conservatively. Since he did not have any clinical evidence of head injury, other than multiple abrasions with contusions in the scalp, he did not undergo any imaging studies. He did not have any neurological deficits. The postoperative period was uneventful for the first patient and she was followed up for one month. The second patient was lost to follow-up. Conclusion: Successful management of two very rare cases of head injuries from Nepal are reported. Proper care and maintenance of the house-hold utensils that are constantly used may protect people from head injuries.  Though natural calamities cannot always be avoided, simple measures like using an umbrella while going outdoors may protect individuals from head injuries due to hailstones.

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