scholarly journals Association between skull fractures and types of intracranial hematomas in children with head injury

2019 ◽  
Vol 23 (1) ◽  
pp. 100-105
Author(s):  
Hemn Abdulrahim
Keyword(s):  
Head Injury ◽  
Skull Fractures ◽  
Intracranial Hematomas

FOCUS Headform Testing Used to Evaluate Head Injury Risk for Ejected Riders of Personal Watercraft

2017 ◽  
Author(s):  
Chimba Mkandawire ◽  
Eric S. Winkel ◽  
Nicholas A. White ◽  
Edward Schatz
Keyword(s):  
Brain Injury ◽  
Head Injury ◽  
Injury Risk ◽  
Skull Fractures ◽  
Facial Fractures ◽  
Injury Criteria ◽  
Facial Skull ◽  
Personal Watercraft ◽  
Wide Variability ◽  
Head Injury Criteria

Operators of personal watercraft (PWC) can perform maneuvers that may result in riders separating from the moving watercraft; the tested hypothesis was whether substantial brain injury concurrent with substantial facial and skull fractures can occur from contact with the PWC during a fall. The present study reports the potential for AIS2+ facial/skull fractures and AIS2+ traumatic brain injury (TBI) during a generic fall from the PWC in the absence of wave-jumping or other aggressive maneuvers. While it is well known that PWC can be used for wave-jumping which can result in more severe impacts, such impacts are beyond the scope of the present study because of the wide variability in occupant and PWC kinematics and possible impact velocities and orientations. Passenger separation and fall kinematics from both seated and standing positions were analyzed to estimate head impact velocities and possible impact locations on the PWC. A special purpose headform, known as the Facial and Ocular CountermeasUre Safety (FOCUS) device was used to evaluate the potential for facial fractures, skull fractures and TBI. Impacts between the FOCUS headform and the PWC were performed at velocities of 8, 10, and 12 miles per hour at 5 locations near the stern of a PWC. This study reports impact forces for various facial areas, linear and angular head accelerations, and Head Injury Criteria (HIC). The risk for facial fracture and TBI are reported herein. The results of this study indicate that concurrent AIS2 facial fractures, AIS2+ skull fractures, and AIS2+ TBI do not occur during a simple fall from a PWC.

Serum Cortisol Abnormalities after Craniocerebral Trauma

Neurosurgery ◽  
1979 ◽  
Vol 5 (5) ◽  
pp. 559-565 ◽  
Author(s):  
Paul Steinbok ◽  
Gordon Thompson
Keyword(s):  
Head Injury ◽  
Cortisol Level ◽  
Diurnal Rhythm ◽  
Elevated Serum ◽  
Craniocerebral Trauma ◽  
Serum Cortisol ◽  
Feedback Mechanism ◽  
Serum Cortisol Level ◽  
Skull Fractures ◽  
Middle Fossa

Abstract Serial estimations of serum cortisol were performed in 49 patients with craniocerebral trauma. Abnormalities of serum cortisol, including alterations in diurnal rhythm and elevations of serum cortisol level, occurred in 21 patients. The frequency and severity of the abnormalities correlated with the severity of the head injury, and there was a trend suggesting that middle fossa basal skull fractures predisposed to cortisol abnormalities. A further 6 patients were studied to assess the effects of exogenous dexamethasone, and in all patients there was suppression of elevated serum cortisol levels by the dexamethasone. The findings suggest that hypercortisolemia after head injury is related to an alteration rather than an abolition of the normal feedback mechanism.

Depressed skull fractures: a pattern of abusive head injury in three older children

2003 ◽  
Vol 27 (11) ◽  
pp. 1323-1329 ◽  
Author(s):  
Anselm C.W Lee ◽  
Yvonne Ou ◽  
Dawson Fong
Keyword(s):  
Head Injury ◽  
Skull Fractures ◽  
Older Children

Head injuries due to falls caused by seizures: a group at high risk for traumatic intracranial hematomas

1997 ◽  
Vol 86 (3) ◽  
pp. 433-437 ◽  
Author(s):  
Thomas J. Zwimpfer ◽  
Jennifer Brown ◽  
Irene Sullivan ◽  
Richard J. Moulton
Keyword(s):  
Head Injury ◽  
Alcohol Intoxication ◽  
Head Injuries ◽  
Chi Square ◽  
Focal Neurological Deficit ◽  
Content Type ◽  
Intracranial Hematomas ◽  
Chi Square Analysis ◽  
Mass Lesions ◽  
Fine Print

✓ This prospective review of adult patients with head injuries examines the incidence of head injuries due to falls caused by seizures, the incidence and severity of intracranial hematomas, and the morbidity and mortality rates in this patient population. A head injury was attributed to a fall caused by a seizure if the seizure was witnessed to have caused the fall, or the patient had a known seizure history, appeared postictal or was found convulsing after the fall, and no other cause for the fall was evident. A total of 1760 adult head-injured patients were consecutively admitted to the authors' service between 1986 and 1993. Five hundred eighty-two head injuries (33.1%) were due to falls and 22 (3.8%) of these were caused by seizures. Based on the prevalence rates for epilepsy in the general population of 0.5 to 2%, these results indicate that epileptics are several times more likely to suffer a head injury due to a fall. Mass lesions were found in 20 (90.9%) of these 22 patients and the remaining two patients suffered mild diffuse head injuries. There was a high incidence of extraaxial mass lesions: 17 (85%) of the 20 intracranial hematomas were either epidural (five cases) or acute subdural (12 cases) hematomas. Eighteen (81.8%) of the 22 patients required evacuation of a hematoma. Both the incidence of intracranial hematomas (90.9% vs. 39.8%; p < 0.001, chi-square analysis) and the rate of hematoma evacuation (81.8% vs. 32.3%; p < 0.001) was significantly greater in patients injured in falls due to seizures (22 cases) than in the group injured in falls from all other causes (560 cases). The higher incidence of hematomas and the need for evacuation were not explained by differences in age, severity of head injury, or incidence of alcohol intoxication. Despite the greater incidence of mass lesions and the need for operative treatment in patients injured because of seizures, their mortality rate was similar to that of patients injured in falls from other causes. On the basis of their review of patients admitted to a neurosurgical center with complaints of head injury, the authors conclude that patients with head injuries due to a fall caused by a seizure should undergo computerized tomography scanning early in their management. Until a mass lesion has been excluded, any decrease in level of consciousness or focal neurological deficit should not be attributed to the seizure itself.

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.

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