scholarly journals CT Findings and Histological Evaluation of Red Foxes (Vulpes vulpes) with Chronic Head Trauma Injury: A Retrospective Study

Animals ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 1010
Author(s):  
Luca Lacitignola ◽  
Rossella Samarelli ◽  
Nicola Zizzo ◽  
Elena Circella ◽  
Claudia Acquafredda ◽  
...  
Keyword(s):  
Head Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Clinical Signs ◽  
Ct Scans ◽  
Histological Evaluation ◽  
Red Foxes ◽  
Large Numbers ◽  
Post Mortem Findings ◽  
Trauma Injury

Large numbers of wild animals are injured every year in road traffic accidents. Scant data are available for rescued wild carnivores, in particular for red foxes. Cases of foxes with head trauma were retrospectively considered for inclusion in this study. Clinical examination, modified Glasgow coma scale (MGCS), computed tomography (CT) examination, therapy, outcome, and post mortem findings of the brain were investigated. In all foxes, cranial vaults lesion occurred in single (67%) or multiple sites (33%). Midline shift and hydrocephalus were observed in this population. The mean survival was 290 (±176) days. In our study, we performed CT scans on average 260 days after fox rescue, and we speculate that persisting clinical signs could be attributed to TBI. In our study, only two foxes were alive at the time of writing. Other foxes were euthanized due to the severity of the clinical signs. CT scans help diagnose chronic lesions and their effect on prognostic judgment for animals released to wildlife environments.

scholarly journals Posttraumatic Pneumopericardium: A Sign of Severe Injury or Radiodiagnostic Rarity?

2006 ◽  
Vol 49 (2) ◽  
pp. 129-132 ◽  
Author(s):  
Vladimír Lonský ◽  
Jiří Manďák ◽  
Jan Harrer ◽  
Martin Tuna ◽  
Petr Dvořák ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Blunt Chest Trauma ◽  
Traffic Accidents ◽  
Chest Trauma ◽  
Road Traffic ◽  
Severe Injury ◽  
Road Traffic Accidents ◽  
Associated Injuries ◽  
Air Tamponade ◽  
Trauma Injury

We present three cases of pneumopericardium following blunt chest trauma injury. All three patients were victims of road traffic accidents. All had multiple associated injuries and pneumopericardium was found as the additional finding. Pneumopericardium was treated conservatively with thoracic drains placement and patients observation. Transesophageal echocardiography was used as a method of choice for exclusion of cardiac air tamponade. All three patients survived.

scholarly journals The Victims of Road Traffic in the Territory of Kosovo and the Way of Their Compensation-Indemnity

2016 ◽  
Vol 4 (2) ◽  
pp. 163
Author(s):  
MSc. Halim Kuliqi
Keyword(s):  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Comparative Method ◽  
Theory And Practice ◽  
Road Traffic Accidents ◽  
The Road ◽  
Large Numbers ◽  
The Right

Taking into account the fact that in the world the road traffic accidents happen very often and go up to very large numbers, which often are also very disturbing, then there is an indispensable need to study this problem, because without identifying the problem and its causes then it can neither be fought nor prevented.The significance of this paper lays on the presentation of some data regarding the number of accidents and their victims, the ways of compensation for the damage and the presentation of some measures in order to protect the victims of accidents from secondary victimization.This paper fills a scientific gap for victims of accidents and their way of compensation, which until now for the case of Kosovo has been not addressed significantly in terms of theory and practice also. For the presentation and the development of this issue have been used statistical method, comparative method and among others also the case study methods.In other words, the main purpose of this paper is to present data that expose the difficulties for the realization of the right of victims after suffering accidents and also to propose some norms that would protect the victims from secondary victimization, as victims after suffering a traffic accident may be hurt again until the realization of their demand for compensation according to the law.

scholarly journals Analgesic use and potential hearing loss: a pharmacovigilance study

2017 ◽  
Vol 6 (10) ◽  
pp. 2380
Author(s):  
Meena K. N. ◽  
Dwajani S. ◽  
Nagaraj T. M. ◽  
Roshan Kumar B. N. ◽  
Rajiv S.
Keyword(s):  
Hearing Loss ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Clinical Signs ◽  
Respiratory Illness ◽  
Lower Class ◽  
Case Record ◽  
Male Predominance ◽  
The Impact ◽  
Analgesic Use

Background: Hearing loss is the most common sensory deficit in humans today. In India, as per WHO there are approximately 63 million people, who are suffering from significant auditory impairment and estimated prevalence at 6.3% in Indian population. The objective of the study was to determine the potential hearing loss in patients on analgesics.Methods: Prospective, observational study examined the association between analgesic use and potential hearing loss in 30 patients receiving NSAIDS. Data was collected using specialized designed case record form. The clinical signs like onset of tinnitus, appearance of another sound that didn't exist before, sinus infection or a respiratory illness, development of vertigo or spinning sensation were looked for. Audiometry test was advised for all the patients receiving analgesics.Results: Total of 30 patients were included in the study. Male predominance was noted Maximum patients were in the age group between 35-45 years (33.33%). The socioeconomic status was analyzed using revised kuppuswamy scale. 30% (n=09) of patients were in lower class. Majority of the patients were reported with road traffic accidents (n=19; 63.33%) and received analgesics for more than 2 weeks. Patients received different combination of NSAIDs among which aceclofenac was most commonly prescribed. 11 (36.66%) patients had hearing loss received either diclofenac or aceclofenac for more than 25 days.Conclusions: Regular usage of NSAIDS may increase the risk of hearing loss and the impact could be larger on younger individuals. Hence, extra precaution to be taken while prescribing NSAIDS.

Poor Prediction of Positive Computed Tomographic Scans by Clinical Criteria in Symptomatic Pediatric Head Trauma

PEDIATRICS ◽  
1987 ◽  
Vol 80 (4) ◽  
pp. 579-584
Author(s):  
Fred Rivara ◽  
Darik Tanaguchi ◽  
Ruth Ann Parish ◽  
Gary K. Stimac ◽  
Beth Mueller
Keyword(s):  
Glasgow Coma Scale ◽  
Head Trauma ◽  
Clinical Signs ◽  
Ct Scanning ◽  
Clinical Findings ◽  
Ct Scans ◽  
Coma Scale ◽  
Clinical Criteria ◽  
Computed Tomographic ◽  
Scale Scores

A retrospective study of 98 children who received CT scanning for head trauma was conducted to determine whether clinical signs would accurately identify patients needing CT scans. The clinical findings of Glasgow Coma Scale score of 12 or less, altered consciousness on admission, and focal abnormalities on neurologic examination were each significantly associated with abnormal findings on CT scans (P < .01). However, 31% of the 51 patients with Glasgow Coma Scale scores greater than 12 had abnormal CT scan findings. No clinical findings, alone or in combination, accurately identified all patients with abnormal findings on CT scans.

scholarly journals The Place of Post-Traumatic Amnesia in the Assessment of Blunt Head Trauma: The Epistemic, Professional and Material Factors Shaping British Neurology, circa 1920–40

2018 ◽  
Vol 62 (4) ◽  
pp. 449-467 ◽  
Author(s):  
Ryan Ross
Keyword(s):  
Head Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Head Injuries ◽  
Second World War ◽  
Traumatic Amnesia ◽  
Number Of Patients ◽  
Blunt Head Trauma ◽  
Post Traumatic ◽  
Second World

The increase in road traffic accidents in twentieth-century Britain brought with it a rise in the number of patients admitted to hospital with blunt, non-penetrating head injuries. Patients who had suffered mild to moderate trauma typically complained of a variety of problems, including headaches, dizziness and giddiness. For the neurologists tasked with diagnosing and treating these patients, such symptoms proved difficult to assess and liable to obscure the clinical picture. This article focuses on why neurologists turned to time as a diagnostic-tool in helping to resolve these issues, specifically the measurement of post-traumatic amnesia (PTA). This article argues that PTA became so central to neurological diagnosis owing to a set of epistemic, professional and material factors in the decades prior to the Second World War. It concludes with a call for deeper appreciation of the range of issues that contribute to the shaping of medical theories of head trauma.

scholarly journals Frontal and Naso-Orbito-Ethmoid Complex Fractures

2021 ◽  
pp. 1251-1266
Author(s):  
Kannan Balaraman
Keyword(s):  
Emergency Management ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Treatment Plan ◽  
Ct Scans ◽  
Definitive Treatment ◽  
Road Traffic Accidents ◽  
Facial Fractures ◽  
Primary Management ◽  
Modality Identification

AbstractNaso-orbito-ethmoid (NOE) injuries constitute about 5% of facial fractures and most of them are as a result of road traffic accidents. Deformities in the region tend to be more cosmetically apparent. Considering the proximity of the area to critical structures like brain and eye, such injuries need to be thoroughly evaluated both clinically and radiologically to understand the extent of the injury as well as initiate emergency management if required prior to constituting a definitive treatment plan. CT scans are the most useful investigation modality. Identification and maintaining the attachment of Medial canthal ligament in appropriate position along with reducing / stabilizing the bony fracture is the key to getting good results in these fractures. Primary management of the deformity produces better results compared to secondary correction.

scholarly journals Management and outcome of moderate head trauma: our experience

2018 ◽  
Vol 32 (1) ◽  
pp. 129-148
Author(s):  
Mohammed T. Alshaimaa ◽  
Mohammed A. Sultan ◽  
Wael K. Zakaria ◽  
Mohammed E. Elshehawi
Keyword(s):  
Head Trauma ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Kidney Diseases ◽  
Length Of Hospital Stay ◽  
University Hospital ◽  
Chronic Kidney Diseases ◽  
Outcome Management ◽  
Liver And Kidney

AbstractObjective: The aim of this study is to follow up patients with moderate head trauma who were admitted to Mansoura University Hospital in the period from 1 Dec. 2015 to 30 Jul. 2016 until discharge and determine the outcome of head trauma.Material and Methods:This prospective study were conducted on all patients with moderate head trauma admitted to Mansoura Emergency Hospital during the period from 1 Dec. 2015 to 30 Jul. 2016 with exclude Polytrauma, bleeding disorders, severe liver and kidney disease patients.Results: In this study, we correlated different risk factors with management and with outcome. Management may be surgical or conservative and outcome may be alive or dead. We have 60 patients with 17 cases (28.3%) were treated surgically and 43 cases (71.6%) were treated conservatively. According to outcome 36 cases (60%) were alive and 24 cases (40%) died, all cases managed in ICU. According to sex, 10 cases (17%) were female and 50 cases were male (83%) with statistically nonsignificant effect on outcome (P = 0.7) and management (P =0.7). road traffic accidents is most common cause of injury with 33 cases (55%), and Cause of injury had statistically significant effect on management (P = 0.02) and statistically non-significant effect on outcome (p = 0.4). GCS on admission had no statistically significant effect on management (P=0.8) and outcome (P=0.1) with mean of 10.1±1.2 and GCS on discharge had no statistically significant effect on management (P=0.6).Conclusion: There were significant effect of age of patients, systemic diseases (such as DM, HTN, chronic kidney diseases, and chronic liver diseases), type of lesions (especially SDH, SAH), and serum electrolytes (especially serum Sodium) on outcome which determined by GCS at discharge, length of hospital stay, and the state of the patient at discharge.

scholarly journals The clinical profile and outcome of conservatively managed traumatic brain injuries and its implications on the timing of repeat CT scans

2020 ◽  
Vol 8 (1) ◽  
pp. 137
Author(s):  
Adil Abdulla ◽  
Sunil Sadanandan
Keyword(s):  
Ct Scan ◽  
Traffic Accidents ◽  
Brain Injuries ◽  
Road Traffic ◽  
Care Center ◽  
Tertiary Care ◽  
Ct Scans ◽  
Serial Ct ◽  
Ct Finding

Background: Outcome of traumatic brain injury is multi factorial. It is common to follow up the conservatively managed patients with repeated CT scans at specific intervals. The study was to observe the epidemiology of TBI and ascertain utility of repeating CT scans in conservatively managed TBI.Methods: 318 patients with TBI admitted to a tertiary care center for a period of 1 year was studied. Adult patients, who have undergone multiple CT scans were included and patients underwent surgery or expired after first CT scan excluded. Personal details, clinical details and reason for repeated CT scan was studied. The change in management based on serial CT scans was measured as outcome.Results: Road traffic accidents were the cause of 69.1% of TBI. 72% of the patients were male. Commonest CT finding was occurrence of mixed lesions, seen in 44.3% patients. In patients who underwent repeated CT scans, the mean number of repeat CT scans were 3.7 CT (SD=1.001), while that of elective cases were 2.40 scans (SD=0.629). The use of routine CT scan for follow up did not alter the management of patients with TBI when compared to patients who underwent elective scans as none of them underwent any surgical intervention.Conclusions: RTA are commonest cause for TBI. Use of routine CT scans was not of advantage over elective scans as none of the patients had any change in management with use of repeat CT scans.

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