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cranioencephalic trauma

Rafael Sartori Balbinot, Ana Laura Facco Muscope, Mateus Dal Castel, Silvana Sartori Balbinot, Raul Angelo Balbinot, Jonathan Soldera
Although extrahepatic metastases from hepatocellular carcinoma (HCC) are present in only 5-15% of cases, they are certainly factors associated with poor prognosis. The main sites include lung, lymph nodes, bones, and adrenal glands, in descending order. Metastasis in the central nervous system is extremely rare, and the incidences vary from 0.6 to 1.7%. We report a case of a 54-year-old man previously diagnosed with alcohol-induced cirrhosis of the liver and HCC. The patient was admitted presenting progressive left hemiparesis and headache which started 2 days earlier, with no history of cranioencephalic trauma...
September 2017: Case Reports in Gastroenterology
Luis Mariano Rojas-Medina, Lucia Esteban-Fernández, Victor Rodríguez-Berrocal, Marta Del Álamo de Pedro, Luis Ley Urzaiz, Ignacio Regidor Bailly-Baillere
BACKGROUND: Posttraumatic tremor (PTT) is the most frequent movement disorder secondary to cranioencephalic trauma and can be persistent and disabling. OBJECTIVES: We review and assess the efficacy of deep brain stimulation (DBS) at the VIM/VOP/ZI (ventralis intermedius/ventrooralis posterior/zona incerta) complex level for the treatment of PTT. METHODS: During the period from 1999 to 2014, 5 patients diagnosed with PTT were selected who had experienced a major deterioration in their quality of life without improvement during medical treatment for more than 1 year...
2016: Stereotactic and Functional Neurosurgery
David Muñoz-Santanach, Victoria Trenchs Sainz de la Maza, Sara Maya Gallego, Adriana Cuaresma González, Carles Luaces Cubells
OBJECTIVE: The protocol for the management of mild cranioencephalic trauma in the emergency department was changed in July 2013. The principal innovation was the replacement of systematic X-ray in infants with clinical observation. The aims of this study were to determine whether there was, 1) a reduction in the ability to detect traumatic brain injury (TBI) in the initial visit to Emergency, and 2) a change in the number of requests for imaging tests and hospital admissions. METHODOLOGY: This was a retrospective, descriptive, observational study...
September 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Luis Rafael Moscote-Salazar, Andres M Rubiano, Hernando Raphael Alvis-Miranda, Willem Calderon-Miranda, Gabriel Alcala-Cerra, Marco Antonio Blancas Rivera, Amit Agrawal
Traumatic brain injury is a leading cause of death in developed countries. It is estimated that only in the United States about 100,000 people die annually in parallel among the survivors there is a significant number of people with disabilities with significant costs for the health system. It has been determined that after moderate and severe traumatic injury, brain parenchyma is affected by more than 55% of cases. Head trauma management is critical is the emergency services worldwide. We present a review of the literature regarding the prehospital care, surgical management and intensive care monitoring of the patients with severe cranioecephalic trauma...
January 2016: Bulletin of Emergency and Trauma
Leonor Ramos, Ines Coutinho, José Carlos Cardoso, Helena Garcia, Margarida Robalo Cordeiro
Cutaneous meningiomas are rare tumors most commonly located on the scalp. We report the case of a 55-year-old male who presented with a 2 x 3 cm tumoral lesion on the forehead. The lesion was hard, adherent and covered by normal skin. Incisional biopsy revealed a proliferation of monomorphic round cells, organized in nests and focally forming pseudovascular spaces. Immunohistochemical study revealed positivity for epithelial antigen membrane and vimentin. Vascular markers, cytokeratins and S100 protein were negative...
May 2015: Anais Brasileiros de Dermatologia
Alberto Galvez-Ruiz
PURPOSE: The purpose was to present a case series of vertical gaze paresis in patients with a history of cranioencephalic trauma (CET). METHODS: The clinical characteristics and management are presented of nine patients with a history of CET secondary to motor vehicle accidents with associated vertical gaze paresis. RESULTS: Neuroimaging studies indicated posttraumatic contusion of the thalamic-mesencephalic region in all nine patients who corresponded to the artery of Percheron region; four patients had signs of hemorrhagic transformation...
July 2015: Middle East African Journal of Ophthalmology
João Matheus Scherbaum Eidt, Ferdinando De Conto, Manoela Moura De Bortoli, Janessa Luiza Engelmann, Franciele Dalamaria Rocha
OBJECTIVES: This study aimed to identify the occurrence, type and severity of body injuries associated in patients with facial trauma, referred to the Hospital São Vicente de Paulo (HSVP) in the city of Passo Fundo - RS, Brazil. MATERIAL AND METHODS: The study analyzed medical records of 1385 patients who were treated in the Department of Oral and Maxillofacial Surgery at HSVP during the period from 1991 to 2010. RESULTS: According to the results of this study we observed that 35% of cases of facial fractures were associated with a body injury...
2013: Journal of Oral & Maxillofacial Research
Juan F Martínez-Lage, Fernando Alarcón, Raul Alfaro, Amparo Gilabert, Susana B Reyes, María-José Almagro, Antonio López López-Guerrero
BACKGROUND: Craniocervical distraction injuries, including atlanto-axial dislocation (AAD) and atlanto-ocipital dislocation (AOD), are often associated with severe spinal cord involvement with high morbidity and mortality rates. Many patients with these injuries die at the accident scene, but advances in emergency resuscitation and transport permit that many patients arrive alive to hospitals. DISCUSSION: Children with craniocervical distraction injuries usually present with a severe cranioencephalic traumatism that is the most relevant lesion at admission...
February 2013: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Líssia Maria De Souza Dias, Raimundo Lopes Diniz, Lia Buarque de Macedo Guimarães
This article presents a study on the accidents related to the use of products and services, as recorded at two emergency hospitals at the city São Luís, Brazil. The goal of the study was to evaluate the main types and causes of unintentional accidents as well as the more frequent injuries for further improvement of products and services. The study evaluated the victims profile (gender and age), the circumstances (activity, local and time) that lead to the accidents and the type of resulted injury. Non-parametric statistics showed that 83...
2012: Work: a Journal of Prevention, Assessment, and Rehabilitation
A Moreno, G Guillén, C Marhuenda, C Barceló, J A Molino, J Lloret, V Martínez Ibáñez
INTRODUCTION: The traditional management of pediatric penetrating trauma has been wide surgical examination. However, the selective nonoperative management is increasing thanks to the precise diagnosis obtained from radiologic studies as CT scan. The purpose of this study is reviewing our experience in the last eight years with a less invasive management. PATIENTS AND METHODS: We retrospectively reviewed (2000-2007) the patients with penetrating injuries of different parts of the body (excluding cranioencephalic traumatism) treated in our center and registered by the Clinical Documentation Unit...
October 2009: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Jon Pérez-Bárcena, Javier Ibáñez, Marta Brell, Pedro Llinás, Josep Maria Abadal, Juan Antonio Llompart-Pou
Posttraumatic tissular hypoxia can be due to multiple causes, including microcirculation disturbances, which can be studied with the SDF (Side Stream Dark Field) system. This system is based on a small hand-held microscope that eliminates directly reflected green polarised light from an organ surface using an orthogonal analyser. It offers clear images of red and white blood cells flow through microcirculation. Specific software is later used to determine the length and density of microvessels. We present a case of a TBI patient who required surgical evacuation of a brain contusion...
June 2009: Medicina Intensiva
Dolores Escudero
Brain death has been recognized by the scientific community as the person's death, and accepted in the legislation of different countries. Brain death is defined as the irreversible ending of the functions of all the intracranial neurological structure in both the brain and brain stem. This clinical situation appears when intracranial pressure exceeds the patient's systolic blood pressure, leading to brain circulatory arrest. The most frequent are cerebral hemorrhage and cranioencephalic trauma. Clinical diagnostic must be done by doctors with expertise in neurocritical patient treatment...
May 2009: Medicina Intensiva
Fausto Famà, Antonio Beccaria, Consolato Malara, Pantaleone Placanica, Francesco Cucinotta, Antonino Caruso, Concetta Estollere, Giuseppina Versace, Nadia Latorre, Donatella Foti, Roberto Falzea, Francesco De Ponte, Maria Antonietta Gioffrè-Florio
Maxillofacial injuries are relatively frequent. These may be complicated by cranioencephalic injuries or large facial wounds. We report our experience with the initial management of these lesions in an emergency unit setting. In 2007, we observed 105 patients with maxillofacial injuries. Maxillofacial injuries were associated with cranio-encephalic injuries in 69 patients (65.7%) and with polytrauma in 31(29.5%), while in 5 cases (4.8%) they were isolated. The main causes of trauma were motorcycle accidents (60%)...
January 2009: Chirurgia Italiana
A Zabalegui, E Martínez-Barrio, J L Fernández-Fernández, M J López-Pueyo
No abstract text is available yet for this article.
December 2008: Medicina Intensiva
M Pérez-Alé, J M Flores-Cordero, M D Rincón-Ferrari, S García-Gómez, J I Sánchez-Olmedo, F Murillo-Cabezas, A Leal-Cerro
OBJECTIVE: To assess early pituitary function in a sequential cohort of critical care patients after severe traumatic brain injury (TBI). DESIGN: This was a prospective observational study. The pituitary function was always tested on the third day after TBI. SETTING: Neurocritical intensive care unit (ICU) in a University hospital. PATIENTS: A total of 136 adult patients with severe TBI (range, 16-65 years) enrolled over a 2 year and 9 month period having a stay in the ICU treated than 48 hours...
December 2008: Medicina Intensiva
J Vilardell Molas, M P Pérez-Bouton, G Martí Agustí
Currently, the increasing number of subjects who survive a moderate to severe cranioencephalic traumatism (CET) has led to a greater number of sequels. This has made it necessary to study these sequels more specifically. Thus, we have wanted to manifest which are the most common sequels in the cases of patients who have suffered moderate to severe CET through our professional experience and current research done on this. Furthermore, we indicate the need to become aware of these deficits since these (specifically neuropsychological) are often too specific if we compare them with the generality of the standard used for their evaluation...
December 2007: Revista Clínica Española
O Manessiez, S Aufort, J P King, N Menjot De Champfleur, P Benatia, P Taourel
OBJECTIVE: Validate the clinical criteria, which, when absent, would make it safe to bypass CT scan examination in mild cranial injuries. MATERIAL: and methods. Prospective study including 285 patients with mild cranial injury with a Glasgow score of 15, a normal clinical examination but transitory loss of consciousness or suspected transitory loss of consciousness. The following clinical parameters were systematically reviewed: history of stroke; post-injury headache; post-injury vomiting; alcohol, medication, or drug intoxication; clinical signs of cervico-cranio-facial injury; post-injury convulsions; or coagulation impairment...
April 2007: Journal de Radiologie
Pablo Casas-Rodera, Luis Lassaletta, Teresa González, María José Sarriá, Javier Gavilán
OBJECTIVE: Post-operative facial function was analyzed in 14 patients undergoing different techniques for facial nerve repair. MATERIAL AND METHOD: The aetiology of facial paralysis included vestibular schwannomas, facial schwannomas, cranioencephalic trauma, and iatrogenic lesions. RESULTS: The mean interval between paralysis and reconstruction surgery was 6 months, although in 2 cases it exceeded 12 months. The first facial signs of recovery were achieved around the sixth month post-operatively, in every patient...
April 2007: Acta Otorrinolaringológica Española
J A Llompart-Pou, J M Abadal, J Pérez-Bárcena, J Homar, A Rodríguez, J Ibáñez
Posttraumatic carotid-cavernous fistula (PtCCF) is an uncommon complication after cranioencephalic trauma. It is usually diagnosed with a cerebral arteriography when the clinical symptoms have already appeared. The transcranial color-coded duplex sonography (TCDS) is a non-invasive technique at the patient's bedside that permits visualization of the circle of Willis and the intracavernous segment of the internal carotid artery. The initial sonographic patterns that suggest the presence of a PtCCF by TCDS are a mosaic image in color mode, presence of arterial and venous flows mixed with high velocity and low resistances...
January 2007: Medicina Intensiva
Jair Cortez Montovani, Emanuel Araújo Nogueira, Fabricio Dominici Ferreira, Arlindo Cardoso Lima Neto, Victor Nakajima
UNLABELLED: The frontal sinus trauma is not rare and it is 8% of the facial fractures. It can affect the anterior and/or posterior plates, with or without hitting the nasofrontal duct. It has a large potential of complications and its management still being a controversy. OBJECTIVE: To present the casuistic of fractures frontal sinus, the epidemiology and clinical and surgical management of frontal sinus fractures. MATERIALS AND METHODS: Not randomized retrospective study of 24 patients with frontal sinus fractures Hospital of Clinics, School of Medicine Botucatu, São Paulo, Brazil...
March 2006: Brazilian Journal of Otorhinolaryngology
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