scholarly journals Traumatic bilateral intraorbital (subperiosteal) hematoma associated with epidural hematoma: case report

2003 ◽  
Vol 61 (4) ◽  
pp. 1039-1041 ◽  
Author(s):  
Leodante Batista da Costa Jr ◽  
Agustinho de Andrade ◽  
José Gilberto de Bastos Henriques ◽  
Anderson Finotti Cordeiro ◽  
Cícero do Juazeiro Job Maciel
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Epidural Hematoma ◽  
Unfavorable Outcome ◽  
Extradural Hematoma ◽  
Traumatic Head Injury ◽  
Severe Injuries ◽  
Traumatic Head

Extradural hematoma (EDH) is a frequent lesion, with an incidence varying from 0.2 to 6% in patients admitted to hospital due to traumatic head injury. The higher incidence is found in patients with more severe injuries. The association of EDH with subperiosteal intraorbital hematomas is rarely reported, and we were not able to find in the literature any report of traumatic bilateral intraorbital hematomas and EDH. We report this case of a 32 year-old man with bilateral intraorbital (subperiosteal) hematoma associated with unilateral EDH. The lesions were treated surgically, but unfortunately with an unfavorable outcome.

Neurogenic Cardiopulmonary Instability with Pulmonary Edema after a Traumatic Head Injury - A case report -

2007 ◽  
Vol 53 (3) ◽  
pp. S52 ◽  
Author(s):  
Duk-Kyung Kim ◽  
Kyoung-Min Lee ◽  
Won-Kyoung Kwon ◽  
Seung-Min Jeong
Keyword(s):  
Case Report ◽  
Head Injury ◽  
Pulmonary Edema ◽  
Traumatic Head Injury ◽  
Traumatic Head

A study of serum cortisol levels in acute head injury patients

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Tangeda Padmaja Rao
Keyword(s):  
Head Injury ◽  
Serum Cortisol ◽  
Adrenal Function ◽  
Serum Cortisol Level ◽  
Mild Head Injury ◽  
Traumatic Head Injury ◽  
Severe Injuries ◽  
Acute Head Injury ◽  
Traumatic Head ◽  
Cortisol Levels

AbstractIntroductionAdrenal insufficiency has a great impact on the prognosis of patients with traumatic brain injury. In healthy persons during normal day-to-day activity, the concentration of plasma cortisol is high in the morning, decreases during the day and rises again during night. But this diurnal rhythm is abolished in long-term unconscious patients and in those with disturbed sleep cycles. In addition, patients with central nervous system disease, who are conscious but have lesions in the temporal lobe, and the pretectal or hypothalamus area, demonstrate abnormal rhythms.MethodsThis cross-sectional study recruited 33 consecutive patients attending emergency medical departments of Prathima Institute of Medical Sciences Hospital between July 2017 and April 2018 with mild to severe traumatic head injury within 6 h of injury. The selected patients were mainly divided into three groups depending on the Glasgow Coma Scale (GCS) [mild head injury (14–15); moderate head injury (9–13); severe head injury (3–8)]. In each group, 11 patients were selected. GCS was calculated at the time of admission. The adrenal function of the patients was assessed by using the serum cortisol tests.ResultsIn this comparative study of acute head injury among three groups, males are more prone to injury than females, with 81%, 90% and 72% in mild, moderate and severe injuries, respectively. The result mainly shows that the mean cortisol levels estimated were significantly increased in mild head injury and were with greater increase in cases of moderate & severe head injuries. Statistically significant positive correlation was observed between serum cortisol & GCS levels.ConclusionsIn this study of serum cortisol levels in head injury patients, we observed that there is increase in the serum cortisol level immediately after trauma. The increase is linearly related with the severity of head injury. Hence performing serum cortisol test is recommended for the assessment of adrenal function in patients with traumatic head injury.

scholarly journals A STUDY ON CORRELATION OF DEGREE OF MIDLINE SHIFT ON CT SCAN AND GLASGOW COMA SCALE IN PATIENTS OF ACUTE TRAUMATIC HEAD INJURY

2020 ◽  
Vol 4 (8) ◽  
Author(s):  
Sandeep Kumar ◽  
Narendra Kumar Kardam ◽  
Kushal babu Gahlot ◽  
Manphhol Singh Maharia
Keyword(s):  
Head Injury ◽  
Glasgow Coma Scale ◽  
Ct Scan ◽  
Subdural Hematoma ◽  
Midline Shift ◽  
Extradural Hematoma ◽  
Traumatic Head Injury ◽  
Coma Scale ◽  
Depressed Fracture ◽  
Traumatic Head

Background: The larger the amount of the midline shift on CT scan the poorer will be the outcome of traumatic head injury. Other variables such as Glasgow coma scale have been subsequently introduced to build more complex and accurate prognostic model. Methods: A study was conducted on patients with acute traumatic head injury. Most common and important complication of traumatic head injury is the development of an increased intracranial pressure resulting in midline shift. The larger the amount of the midline shift on CT scan the poorer will be the outcome of traumatic head injury. Results: External injury of scalpel is seen in 92% of cases, blackening of eye in 50% & vomiting in 50%. Cerebral contusion (50%) was the most common CT scan finding followed by depressed fracture (32%), subdural hematoma (22%) than extradural hematoma (6%). Hemorrhagic contusion was the most common CT scan finding irrespective of GCS score. In patients with GCS 3-5 other outcome findings are extradural hematoma, subdural hematoma, & depressed fracture. In patients with GCS 6-8 other common findings are extradural hematoma, depressed fracture & hemorrhagic contusion. In patients with GCS 9-12 other common findings were hemorrhagic contusion, depressed fracture & intra cerebral hematoma. In patients with GCS 13-15 other common findings were depressed fracture, hemorrhagic contusion. Conclusions: The increased degree of midline shift in patients with head injuries by CT scan was related to the severity of head injury (GCS= 3-12) and was significantly related to poor final clinical outcome. Keywords: CT scan, Glasgow coma scale, acute traumatic head injury.

PTSD and Traumatic Head Injury: What Do We Know and Where Do We Go?

2007 ◽  
Author(s):  
Richard Bryant ◽  
Jennifer J. Vasterling ◽  
Charles W. Hoge ◽  
Janet Harris
Keyword(s):  
Head Injury ◽  
Traumatic Head Injury ◽  
Traumatic Head
Sign in / Sign up

Export Citation Format

Share Document