scholarly journals Microcystic meningioma mimicking an arachnoid cyst

2015 ◽  
Vol 29 (3) ◽  
pp. 279-284 ◽  
Author(s):  
Danil Adam ◽  
Ioana Hornea ◽  
Cristiana Moisescu ◽  
Dragos Iftimie ◽  
Toma Papacocea
Keyword(s):  
Head Injury ◽  
Arachnoid Cyst ◽  
Head Injuries ◽  
Fluid Collection ◽  
Tumor Mass ◽  
Perilesional Edema ◽  
Imaging Characteristics ◽  
The Right ◽  
The Relationship ◽  
Microcystic Meningioma

Abstract Microcystic meningioma is a particular morphopathological form of benign meningiomas, with different imaging characteristics compared to other forms of meningiomas. It is presented the case of an 80 year old woman with repeated head injuries, initially operated for a right fronto-temporo-parietal pericerebral fluid collection. After four years, the patient returned with headache, confusional status, somnolence, symptoms wich appeared after a new head injury. Cerebral CT scan revealed a hypodense lesion in the right sylvian fissure of 5.7/3.5 cm, without perilesional edema, which was interpreted as an arachnoid cyst. Intraoperative, a soft, gelatinfibrous tumor mass was identified, partially adherent to the dura mater and the underlying cortex, which was completely resected. The morphopathological diagnosis was microcystic meningioma. It is discussed the imaging aspect of the presented case compared to the literature data regarding the microcystic meningiomas and the relationship between head traumas and the occurrence of meningiomas.

scholarly journals Spontaneous Resolution of Late-Onset, Symptomatic Fluid Collection Localized in the Meningioma Resection Cavity: A Case Report and Suggestion of Possible Pathogenesis

2021 ◽  
Vol 11 (3) ◽  
pp. 299
Author(s):  
Yeong Jin Kim ◽  
Tae-Young Jung ◽  
In-Young Kim ◽  
Shin Jung ◽  
Kyung-Sub Moon
Keyword(s):  
Brain Imaging ◽  
Late Onset ◽  
Fluid Collection ◽  
Good Condition ◽  
Treatment Strategies ◽  
Imaging Studies ◽  
Resection Cavity ◽  
Perilesional Edema ◽  
Posterior Neck ◽  
The Right

Postoperative complications after brain tumor surgery occur occasionally and it is important for clinicians to know how to properly manage each complication. Here, we described a rare case of late-onset, subdural fluid collection localized at the resection cavity that caused motor weakness after convexity meningioma resection, requiring differentiation from an abscess, to help clinicians determine treatment strategies. A 58-year-old right-handed female was admitted to the hospital with a headache and posterior neck pain. Brain computed tomography (CT) scans and magnetic resonance (MR) images showed a homogeneously enhanced, calcified, and multi-lobulated mass adjacent to the right motor strip without perilesional edema. The patient underwent surgery without incident or residual deficit and was discharged from the hospital in good condition. Six weeks after surgery, the patient complained of left arm monoparesis without infection-related symptoms. Brain imaging studies showed a localized fluid collection in the resection cavity with an enhanced margin and perilesional edema. Diffusion restriction was not detected. After three months of conservative treatment without surgery or antibiotics, she recovered from the neurologic deficits, and brain imaging studies showed the spontaneous regression of the fluid collection and perilesional edema. Late-onset, localized fluid collection at the resection cavity, which is similar to an abscess, could occur three to eight weeks after meningioma resection. When there are predisposing factors, including blood components and hemostatic materials in the surgical cavity, it is important for clinicians to understand this type of complication and choose conservative management as a feasible strategy.

Gouty Achilles Tendinopathy: A Case Report

2019 ◽  
Vol 109 (4) ◽  
pp. 327-333 ◽  
Author(s):  
Chandana Halaharvi ◽  
Eric So ◽  
Cherreen Tawancy ◽  
Kurt A. Kibler ◽  
Daniel Logan
Keyword(s):  
Achilles Tendon ◽  
Operating Room ◽  
Fluid Collection ◽  
Achilles Tendinopathy ◽  
Flexor Hallucis Longus ◽  
Incision And Drainage ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
The Right ◽  
The Relationship

Tendinopathy in the presence of gouty arthropathy is relatively common, yet the clinical suspicion for gout involvement in acute tendon pain remains low. A 49-year-old man presented with an acute, tender, erythematous mass to the right posterior heel. A computed tomographic scan was obtained, which revealed a septated fluid collection superficial to the Achilles tendon. The patient was taken to the operating room for an incision and drainage with debridement, and the abscess was found to be filled with caseous material. The diagnosis of gout was confirmed with pathology. The calcaneus was submitted to biopsy, and the results were negative for osteomyelitis. The patient was returned to the operating room for repair of the Achilles tendon with flexor hallucis longus tendon transfer. Postoperatively, the patient was nonweightbearing for 6 weeks. Oral colchicine was used perioperatively, and a steroid taper was administered. The patient was started on allopurinol and colchicine for chronic treatment. At 14 months, the patient was walking without pain or recurrence of the mass. Although the relationship between hyperuricemia and tendinopathy is not completely understood, it is apparent that tendon involvement may be a sequela in patients with gout. When a patient presents with acute tendon pain, gout should be considered in the differential diagnosis.

scholarly journals Head home: implementation during COVID-19 pandemic

2021 ◽  
pp. emermed-2020-211007
Author(s):  
Patrick Aldridge ◽  
Rachel Parish ◽  
Heather Castle ◽  
Emma Russell ◽  
Raj Rout ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Head Injury ◽  
Head Injuries ◽  
Wound Infections ◽  
Negative Group ◽  
Entire Cohort ◽  
Scalp Wound ◽  
Competency Based ◽  
The Relationship ◽  
The Brain

BackgroundRecent research suggests that between 20% and 50% of paediatric head injuries attending our emergency department (ED) could be safely discharged soon after triage, without the need for medical review, using a ‘Head Injury Discharge At Triage’ tool (HIDAT). We sought to implement this into clinical practice.MethodsPaediatric ED triage staff underwent competency-based assessments for HIDAT with all head injury presentations 1 May to 31 October 2020 included in analysis. We determined which patients were discharged using the tool, which underwent CT of the brain and whether there was a clinically important traumatic brain injury or representation to the ED.ResultsOf the 1429 patients screened; 610 (43%) screened negative with 250 (18%) discharged by nursing staff. Of the entire cohort, 32 CTs were performed for head injury concerns (6 abnormal) with 1 CT performed in the HIDAT negative group (normal). Of those discharged using HIDAT, four reattended, two with vomiting (no imaging or admission) and two with minor scalp wound infections. Two patients who screened negative declined discharge under the policy with later medical discharge (no imaging or admission). Paediatric ED attendances were 29% lower than in 2018.ConclusionWe have successfully implemented HIDAT into local clinical practice. The number discharged (18%) is lower than originally described; this is likely multifactorial. The relationship between COVID-19 and paediatric ED attendances is unclear but decreased attendances suggest those for whom the tool was originally designed are not attending ED and may be accessing other medical/non-medical resources

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 Association of Low Visual Acuity and Head Injury among the Undergraduate Students of Bingham University, Karu, Nigeria

2021 ◽  
Vol 12 (3) ◽  
pp. 76-83
Author(s):  
Angela Danborno ◽  
◽  
Ifunanya Ofoka ◽  
Victor Eje ◽  
◽  
...  
Keyword(s):  
Visual Acuity ◽  
Head Injury ◽  
Undergraduate Students ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Anthropometric Parameters ◽  
Cross Sectional ◽  
Eye Examination ◽  
The Right ◽  
The Relationship

A laboratory-based cross-sectional study was conducted among Bingham University undergraduate students, Karu, to investigate the proportion of visual acuity (VA) among the students. The study aimed at investigating an association between head injury with low VA of students whose parent’s use medicated eye glasses. A total of 262 undergraduate students participated in the study. A predesigned, pre-tested, self-administered questionnaire was filled by the students. Eye examination using the optotype Snellen E Chart followed and the VA of the right (VARE) and left eyes (VALE) were tested separately. A regression and correlation model was used to assess the relationship between head injury and low VA. Head injury at one point of time in their life was strongly associated with low VA for both eyes (VARE, r = 0.524, R2 = 0.274, p = 0.040; VALE, r = 0.0.531, R2 = 0.282 p = 0.010). Parents’ use of medicated eye glasses was also associated with low VA of students (VARE p = 0.009; VALE p < 0.001). Our results showed that students that had any form of head injury at any point in their life either as a child, teenager or an adult, were more likely to have low VA. However, the educational status of parents, anthropometric parameters and ethnicity had no association with low VA. We conclude that any form of head injury, at any point in one’s life, and parent’s use of eye glasses are risk factors for low VA.

scholarly journals SIGNIFIKANSI HELM SNI SEBAGAI ALAT PELINDUNG PENGENDARA SEPEDA MOTOR DARI CEDERA KEPALA

2016 ◽  
Vol 17 (1) ◽  
pp. 31
Author(s):  
Endi Hari Purwanto
Keyword(s):  
Head Injury ◽  
Head Injuries ◽  
Skull Fracture ◽  
Prevalence Ratio ◽  
Influential Factors ◽  
P Value ◽  
Protective Gear ◽  
Chi Squared ◽  
Accident Conditions ◽  
The Right

<p>Abstrak<br />Fungsi helm yang benar yaitu sebagai pelindung pengendara sepeda motor dari cedera kepala saat terjadi kecelakaan dan mengalami benturan kepala, dalam batas kemampuan helm dan kondisi kecelakaan yang dialami. Penelitian ini berguna mendudukkan kapabilitas helm terhadap beberapa jenis cedera kepala. Harapannya adalah masyarakat menjadi paham bahwa helm bukan menjadi satu-satunya penentu keselamatan dari keparahan cedera kepala pengendara sepeda motor saat mengalami kecelakaan. Penelitian ini bertujuan menghitung signifikansi fungsi helm SNI sebagai alat pelindung dari cedera kepala dibandingkan terhadap faktor berpengaruh lainnya kemudian menghitung besarnya potensi untuk terjadinya suatu cedera kepala tersebut. Metode yang digunakan adalah kolaborasi 3 metode statistik yang kemudian diambil kesimpulannya yang terbaik. Tiga metode tersebut adalah Rasio Prevalensi (RP), khi-kuadrat (Xhit2), distribusi z (p-value) dengan CI=95%, digunakan untuk menghitung signifikansi fungsi helm ber-SNI sebagai alat pelindung dari paparan cedera kepala akibat kecelakaan sepeda motor antara tahun 2006 – 2011 di wilayah kota Bandung. Kemudian uji multivariat digunakan untuk menghitung besarnya potensi kejadian cedera kepala yang dialami. Hasilnya bahwa penggunaan helm ber-SNI signifikan berpengaruh terhadap keparahan cedera fraktur tengkorak dan tulang wajah (S02 injury) yang dialami pengendara sepeda motor ketika mengalami kecelakaan. Dengan syarat kecelakaan yang terjadi bukan tabrakan berlawanan dan bukan tabrakan berpola depan-depan dan sedapat mungkin mendapatkan pertolongan yang cepat. Maka potensi korban mengalami cedera S02 1,437 kali lebih besar daripada tidak menggunakan helm ber-SNI. Kesimpulannya adalah penggunaan helm-SNI hanya sebatas melindungi pengendara dari cedera kepala S02 saja sedangkan potensi cedera kepala yang lebih berat seperti: cedera severe HI, intrakranial (S06) dan meninggal dunia adalah diluar kapabilitas helm SNI tersebut.<br />Kata kunci: penggunaan helm SNI, cedera kepala S02, severe HI, intrakranial (S06), meninggal dunia.</p><p><br />Abstract<br />The right function of helmet as protective motorcycle riders from head injuries during an accident and suffered a clash of heads, within the limits of the ability of the helmet and accident conditions experienced. Useful of this research is sit on the capabilities of helmets to some kind of head injury. The hope is that people come to understand that the helmet is not the sole determinant of safety from the severity of motorcyclists head injury when the accident occured. The study aims to calculate the significance of the function of SNI helmet as protective gear from head injuries compared to other influential factors and then calculate the amount of potential for the occurrence of an injury to the head. The method used is a collaboration of three statistical methods were then infer the best. The three methods are the prevalence ratio (PR), chi-squared (Xhit2), the distribution of z (p-value) with CI = 95%, is used to calculate the significance of the function of SNI helmet as protective gear from head injuries caused by exposure to a motorcycle accident between the years 2006 - 2011 in the city of Bandung. As additionaly, the multivariate test is used to calculate the magnitude of the potential incidence of head injuries suffered. The result is that the use of SNI helmet significantly affect the severity of the injury skull fracture and facial bones (S02) injury suffered by motorcyclists when it crashed. With conditions not collision accident happened opposite and not patterned front-front collisions and as far as possible to get help fast. So the potential victim injured S02 1.437 times greater than not using SNI helmet. The conclusion was that the use of helmet-SNI merely protect riders from head injuries while the potential of S02 only more severe head injuries such as severe HI injury, intracranial (S06) and death are beyond the capabilities of the helmet.<br />Keywords: SNI helmet usage, S02 head injury, severe HI, intracranial HI (S06), passed away.</p>

scholarly journals Mutual relationships between head injury and conduct problems in children aged 9 months to 14 years in the UK Millennium Cohort Study

2022 ◽  
Author(s):  
Valerie Brandt ◽  
Charlotte Hall ◽  
Hedwig Eisenbarth ◽  
James Hall
Keyword(s):  
Cohort Study ◽  
Head Injury ◽  
Conduct Problems ◽  
Head Injuries ◽  
Millennium Cohort Study ◽  
Retrospective Reports ◽  
Strengths And Difficulties ◽  
Uk Millennium Cohort Study ◽  
The Uk ◽  
The Relationship

Background: Research suggests a link between acquired head injury and signs of conduct disorder, with a majority of findings based on retrospective reports and comparison samples. The relationship between head injuries and conduct problems and how they may influence one another during development is currently unclear. This study aimed to investigate direct and indirect associations between head injury and conduct problems through to early adolescence. Methods: Data from the UK Millennium Cohort Study was used to investigate the relationship between conduct problems as assessed by the Strengths and Difficulties Questionnaire and parent reported head injury over time, at ages 9 months, 3, 5, 7, 11 and 14 years, using a cross-lagged path analysis. This is data from 18,552 children, participating in a UK cohort study that is representative of the UK population. We included 7,041 (3,308 male) children, who had full information about head injuries and conduct problems at age 14. Results: We found a mutual association between childhood head injuries and conduct problems but with distinct timings: Head injury between 5-7 years predicted greater chance of conduct problems at age 11 and 14 years, while greater conduct problems at 5 years predicted a significantly greater chance of a head injury at age 7-11 years. Conclusions: These findings have important implications for the timing of preventive and ameliorative interventions. Prior to school entry, interventions aiming to reduce conduct problems would appear most effective at reducing likelihood of head injuries in future years. However, equivalent interventions targeting head injuries would be better timed either as children are entering formal primary education, or soon after they have entered.

Estimation of the Probability of Head Injury at a Given Abbreviated Injury Scale Level by Means of a Fuction of Head Injury Criterion

2020 ◽  
Vol 2 (1) ◽  
pp. 91-99 ◽  
Author(s):  
Leszek Chybowski ◽  
Wojciech Przetakiewicz
Keyword(s):  
Head Injury ◽  
Case Studies ◽  
Head Injuries ◽  
Workplace Safety ◽  
Abbreviated Injury Scale ◽  
Scale Level ◽  
Head Injury Criterion ◽  
The Subject ◽  
The Relationship

AbstractThe paper presents a review of the basic literature on the determination of head injury effects. Introduction to the subject of Head Injury Criterion (HIC) applications as likelihood of head injury measures was made. Individual levels of Abbreviated Injury Scale (AIS) were listed as a representation of the consequences of head injury. Prasad and Mertz curves describing the relationship between the HIC value and the probability of injury for a given AIS level were presented. Exponential models, developed by the authors, representing individual curves were presented. The probability of head injuries at different AIS levels was estimated for selected case studies presented in the literature devoted to human workplace safety. The analysis was concluded with debate and conclusions on the use of the proposed models.

Interhemispheric hygroma after decompressive craniectomy: does it predict posttraumatic hydrocephalus?

2010 ◽  
Vol 113 (6) ◽  
pp. 1287-1293 ◽  
Author(s):  
Ariel Kaen ◽  
Luis Jimenez-Roldan ◽  
Rafael Alday ◽  
Pedro A. Gomez ◽  
Alfonso Lagares ◽  
...  
Keyword(s):  
Head Injury ◽  
Decompressive Craniectomy ◽  
Severe Head Injury ◽  
Fluid Collection ◽  
Receiver Operator Characteristic ◽  
Radiological Features ◽  
Frontal Horn ◽  
Head Injured ◽  
Injured Patients ◽  
The Relationship

Object The aim of this study was to determine the incidence of posttraumatic hydrocephalus in severely head-injured patients who required decompressive craniectomy (DC). Additional objectives were to determine the relationship between hydrocephalus and several clinical and radiological features, with special attention to subdural hygromas as a sign of distortion of the CSF circulation. Methods The authors conducted a retrospective study of 73 patients with severe head injury who required DC. The patients were admitted to the authors' department between January 2000 and January 2006. Posttraumatic hydrocephalus was defined as: 1) modified frontal horn index greater than 33%, and 2) the presence of Gudeman CT criteria. Hygromas were diagnosed based on subdural fluid collection and classified according to location of the craniectomy. Results Hydrocephalus was diagnosed in 20 patients (27.4%). After uni- and multivariate analysis, the presence of interhemispheric hygromas (IHHs) was the only independent prognostic factor for development of posttraumatic hydrocephalus (p < 0.0001). More than 80% of patients with IHHs developed hydrocephalus within the first 50 days of undergoing DC. In all cases the presence of hygromas preceded the diagnosis of hydrocephalus. The IHH predicts the development of hydrocephalus after DC with 94% sensitivity and 96% specificity. The presence of an IHH showed an area under the receiver-operator characteristic of 0.951 (95% CI 0.87–1.00; p < 0.0001). Conclusions Hydrocephalus was observed in 27.4% of the patients with severe traumatic brain injury who required DC. The presence of IHHs was a predictive radiological sign of hydrocephalus development within the first 6 months of DC in patients with severe head 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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