[Multiple traumatic intracranial hematomas].

A P Romodanov; E G Pedachenko

PubMed · 1162939

[Multiple traumatic intracranial hematomas].

Abstract

An analysis of 133 cases furnished a background to the study of features specific for the clinical course, symptomatology, diagnosis and surgical treatment of patients with multiple traumatic intracranial hematomas. The available clinical material was scrutinized in 3 groups of cases under observation (with "floor-wise", bilateral and "neighbouring" multiple intracranial hematomas) by using a complex set of up-to-date auxilliary diagnostic methods of investigation (EEG, echoencephalography, serial angiography, etc). The results of the surgical treatment were studied depending upon the specificity marking the clinical evolution of the disease, as well as upon the method and technique of the operative intervention.

Explore related subjects

Brain Injuries Cerebral Hemorrhage Craniocerebral Trauma Hematoma Humans Methods English Abstract Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

A P Romodanov, E G Pedachenko. [Multiple traumatic intracranial hematomas].. https://pubmed.ncbi.nlm.nih.gov/1162939/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1992

Predicting outcome after brain injury.

Explore the source record for details and available documents.

Brain Injuries↗

PubMed1992

[Prognosis in craniocerebral trauma].

Explore the source record for details and available documents.

Brain Injuries↗

PubMed1992

[Assessment and treatment of minor cranio-cerebral injuries].

Despite the usually uncomplicated course, minor head injury has a major economic impact because of its high frequency. The traditional evaluation and management using plain skull x-rays and subsequent surveillance has recently been questioned due to the wide-spread availability of CT and MRI. Indication and value of these diagnostic methods, however, are still ill-defined. The resulting uncertainty leads to increasing pressure on the smaller hospitals to transfer patients with minor head injury to specialized centres. This trend causes further financial escalation and the capacity of the specialized centres is not large enough to admit all minor injuries. The present review is focused on the initial risk estimation after minor head injury with the aim to derive guidelines for safe and efficient patient management. Adequately communicating patients without history of loss of consciousness have only a minimum risk of an intracranial haemorrhage and need not routinely be submitted to x-ray studies or in-hospital surveillance. Patients with a history of change of consciousness carry a risk of a few percent to develop intracranial haemorrhage and need therefore be admitted for 24 hours. A skull fracture increases the risk of haemorrhage to approximately 10%. An initially unsuspicious CT-scan is no absolute guarantee against subsequent intracranial haemorrhage. Patients who are disoriented and/or somnolent upon emergency room admission or who display a focal neurological deficit have a high risk of intracranial haemorrhage and emergency CT-scan is therefore recommended. The expensive MRI technique is not justified for initial diagnostic work up of head injuries. However, this technique represents a sensitive means to define organic lesions in cases of persistent neurological or neuropsychological deficits.

Brain Injuries↗