motor vehicle accident
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2021 ◽  
Vol 18 (3) ◽  
pp. 137-144
Author(s):  
Jae Wook Cho ◽  
Jun-Sang Sunwoo ◽  
Soo Hwan Yim ◽  
Daeyoung Kim ◽  
Dae Lim Koo ◽  
...  

Narcolepsy is a chronic sleep disorder characterized by irresistible sleep attacks, hypersomnolence, cataplexy (sudden loss of muscle tone provoked by emotion), and sleep paralysis. Individuals with narcolepsy are at a high risk of experiencing sleepiness while driving leading to road traffic accidents. To prevent such accidents, some countries have regulations for commercial and noncommercial drivers with narcolepsy. Evaluating sleepiness is essential. Therefore, several subjective reports and objective tests were used to predict the possibility of car crashes or near-misses. Brain stimulants are effective in treating narcolepsy and can reduce daytime sleepiness in these patients. However, no guideline has been established for the driving safety of patients with narcolepsy in Korea. The Korean Sleep Research Society has prepared this proposal for preventing motor vehicle accidents caused by drowsy driving in patients with narcolepsy.


2021 ◽  
Vol 9 (1) ◽  
pp. 233
Author(s):  
Vinod Kumar Nigam ◽  
Sidharth Nigam

Seat belt syndrome happens when a car meets an accident and person sitting in the car with seat belt on gets abdominal injuries typically, seat belt mark with intestinal injuries and factures of ribs and lumber spine. The abdominal injuries are usually intestinal perforations. Doctor seeing the motor vehicle accident must keep in mind seat belt syndrome while examining. As the traffic rules are getting enforced strictly in developing countries we are seeing seat belt syndrome cases in these countries more and more. We presented here a case of seat belt syndrome in 35 years old women.


Cureus ◽  
2021 ◽  
Author(s):  
Hanan S Tanbal ◽  
Hashem A Al-Dalooj ◽  
Ali H Al Qattan ◽  
Hassan E Al Abbas ◽  
Murtadha A Al Nas

2021 ◽  
pp. 155005942110682
Author(s):  
Rebecca D White ◽  
Robert P Turner ◽  
Noah Arnold ◽  
Annie Bernica ◽  
Brigitte N Lewis ◽  
...  

In 2014, a 26-year-old male was involved in a motor vehicle accident resulting in a severe traumatic brain injury (TBI). The patient sustained a closed-head left temporal injury with coup contrecoup impact to the frontal region. The patient underwent a left side craniotomy and was comatose for 26 days. After gaining consciousness, he was discharged to a brain injury treatment center that worked with physical, speech, and occupational issues. He was discharged after eight months with significant speech, ambulation, spasticity, and cognitive issues as well as the onset of posttraumatic epilepsy. His parents sought hyperbaric oxygen treatment (HBOT) from a doctor in Louisiana. After 165 dives, the HBOT doctor recommended an addition of neurofeedback (NFB) therapy. In March 2019 the patient started NFB therapy intermixed with HBOT. The combination of NFB and HBOT improved plasticity and functionality in the areas of injury and the correlated symptoms including short-term memory, personality, language, and executive function, as well as significantly reducing the incidence of seizures. Severe brain injuries often leave lasting deficits with little hope for major recovery and there is a need for further research into long-term, effective neurological treatments for severe brain injuries. These results suggest that HBOT combined with NFB may be a viable option in treating severe brain injuries and should be investigated.


2021 ◽  
Vol 2 (23) ◽  
Author(s):  
Matthew H. MacLennan ◽  
Dana El-Mughayyar ◽  
Najmedden Attabib

BACKGROUND Chance fractures are unstable due to horizontal extension of the injury, disrupting all three columns of the vertebra. Since being first described in 1948, Chance fractures have been commonly found at a single level near the thoracolumbar junction. Noncontiguous double-level Chance fractures that result from a single traumatic event are rarely reported in the literature. OBSERVATIONS The authors report a case of an 18-year-old male who presented to the emergency department after a rollover motor vehicle accident. The patient complained of severe back pain when at rest and had no neurological deficits. Computed tomography revealed two unstable Chance fractures of bony subtype located at T6 and T11. The patient underwent percutaneous stabilization from T4 to T12. The postoperative assessment revealed continued 5/5 power bilaterally in all extremities, back pain, and the ability to ambulate with a walker. At 3 months after the operation, clinical assessment revealed no significant back pain and the ability to walk independently. Imaging confirmed stable fixation of the spine with no acute osseous or hardware complications. LESSONS This report complements previous studies demonstrating support for more extensive stabilization for such unique fractures. Additionally, rapid radiological imaging is needed to identify the full injury and lead patients to appropriate treatment.


2021 ◽  
Vol 6 (1) ◽  
pp. 16-18
Author(s):  
KwangJin Lee ◽  
Pil Young Jung

Acute appendicitis is a relatively common disease, but it is rarely caused by trauma. There are some reports on appendicitis caused by blunt abdominal trauma, but the pathophysiology is still uncertain. In this report, we presented a case of a patient who developed acute appendicitis following blunt trauma to the abdomen sustained during a motor vehicle accident.


2021 ◽  
pp. 000992282110596
Author(s):  
Hailey C. Barootes ◽  
Chitra Prasad ◽  
C. Anthony Rupar ◽  
Dhandapani Ashok

Gaucher disease (GD) is a rare autosomal recessive metabolic disorder. It is characterized by a deficiency of lysosomal glucocerebrosidase, which results in the accumulation of glycosphingolipid substrates, primarily glucosylceramide, in the phagocyte system. In GD Type 1, the liver, spleen, and bone marrow are typically affected. We report the case of a 7-year-old female with GD Type 1 who presented with hepatosplenomegaly detected incidentally following a motor vehicle accident. She was found to have concomitant thrombocytopenia and Erlenmeyer flask deformities of her lower limbs. Diagnosis was made on the basis of very low leukocyte β-glucocerebrosidase activity and elevated plasma chitotriosidase. DNA mutation studies revealed both c.1226A>G and c.116_1505 deletion (exons 3-11). The patient is currently managed with biweekly intravenous imiglucerase (Cerezyme) replacement therapy. She demonstrated resolution of thrombocytopenia and hepatosplenomegaly at 2-year follow-up. Physicians must consider this rare diagnosis in children presenting with hepatosplenomegaly to prompt timely management.


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