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Biomedical subjects

D Moskopp

Publications and source records attributed to D Moskopp.

45 records · Page 3Linked to original sources
PubMed1990

[Concomitant vertebral trauma in patients with craniocerebral injuries. 34 consecutive patients over 3 years].

Between February 1986 and January 1989, a total of 430 inpatients with the diagnosis of a head injury were prospectively registered and analysed for the association of a spinal trauma. Of these patients, 92% (n = 396) suffered a primary coma and 8% (n = 34) a secondary coma. On admission the ratio of coma, somnolence, and mild clouding was 6:1:3. In 8% (n = 34) the head injury was combined with a lesion of the spinal column. The cervical spine was affected in two-thirds of the cases (21/34). The clinical outcome was subdivided into three categories: dead (n = 10), paraplegic (n = 12), and 12 other patients. At least 4 patients were disabled at the end of the observation period (hospitalized or receiving home care). It is discussed how to avoid overlooking associated spinal fractures in patients with head trauma and multiple injuries that all require emergency treatment.

Adolescent↗
PubMed1989

[MR tomography following craniocerebral trauma: comparison with computed tomography, electroencephalography and neurologic status].

56 patients with head and brain trauma and in coma were studied prospectively by means of MRT, CT, EEG and neurological examination. All patients had initial CT and EEG admission. MRT showed that in our patients morphological return to normal was the exception. Patients with head and brain injuries should be examined by MRT during the course of their illness. The use of special sequences, such as gradient-echo sequences for the diagnosis of haemorrhagic contusions, is indicated. CT should be retained for evaluating bone injury and cerebral damage during the acute stage.

Adult↗
PubMed1987

[Intracranial and intraspinal hemorrhages in treatment with coumarin derivatives. Catamnesis of 63 cases between 1978 and 1986].

From 1978-1986, 63 patients (48-79 years) under coumarin derivatives had to be hospitalized neurosurgically because of intracranial or intraspinal bleedings. This corresponds to a twelvefold increased risk compared to the untreated people. The male/female ratio was 1.5. At the time of the bleeding there was no true indication for anticoagulation in at least 60% of the patients. 80% with coma on admission died. Only for 2/7 with an intraspinal hemorrhage the outcome was better than paraplegic. Women proved to have a better chance of survival. There is a need for more concise indications for chronic anticoagulation.

Acenocoumarol↗
PubMed1986

Unusual anaphylatoxin dynamics after head injury--case report.

The case reported exemplifies a clinical picture markedly at variance with the chronology of symptoms and laboratory findings generally held to be typical in patients with post-traumatic shock. During a protracted clinical course this young man with a skull fracture and epidural haematoma experienced profound hypotension and adult respiratory distress syndrome (ARDS) well in advance of marked fourfold rise of circulating peripheral C3a desArg anaphylatoxin levels. This raises a note of caution with regard to diagnostic and/or therapeutic decisions based on anaphylatoxin assessment of neurosurgical trauma patients at risk of ARDS.

Adult↗
PubMed1985

[Septic brain abscess following closed craniocerebral trauma with steroid therapy].

In a 19-year old man a loculated brain abscess developed in a contusional lesion subsequent to head injury. He remained an inpatient at the hospital during the entire time from trauma to operation. The patient had received dexamethasone because of elevated intracranial pressure, and he was supervised via computerised tomography. Besides pre-operative differential diagnosis, the pathogenesis of this septic complication caused by steroids without antibiotics is discussed in the light of recent literature.

Adult↗