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https://www.readbyqxmd.com/read/27837166/an-unusual-lethal-gunshot-wound-to-the-head
#1
Elmas Shaqiri, Bledar Xhemali, Zija Ismaili, Admir Sinamati, Gentian Vyshka
Atypical gunshot wounds present a challenge for the forensic expert, and sometimes differentiating these from a blunt trauma can be difficult. A careful crime scene investigation can be helpful in finding additional evidence and clarifying the nature of the injuries. We describe a case of an unusual craniocerebral injury that was initially interpreted as a blow from a wooden object. The appearance of the wound lacked the classical characteristics of entrance and exit bullet wounds, but the investigation showed it was due to the ricocheting of a destabilized bullet...
November 11, 2016: Medico-legal Journal
https://www.readbyqxmd.com/read/27693962/effects-of-activin-a-and-its-downstream-erk1-2-in-oxygen-and-glucose-deprivation-after-isoflurane-induced-postconditioning
#2
Qin Wang, Jiangwen Yin, Sheng Wang, Di Cui, Hong Lin, Mingyue Ge, Zhigang Dai, Liping Xie, Junqiang Si, Ketao Ma, Li Li, Lei Zhao
BACKGROUND: Isoflurane postconditioning (ISPOC) plays a neuroprotection role in the brain. Previous studies confirmed that isoflurane postconditioning can provide better protection than preconditioning in acute hypoxic-ischemic brain damage, such as acute craniocerebral trauma and ischemic stroke. Numerous studies have reported that activin A can protect rat's brain from cell injury. However, whether activin A and its downstream ERK1/2 were involved in isoflurane postconditioning-induced neuroprotection is unknown...
September 28, 2016: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/27646495/prospective-study-of-hypothalamo-hypophyseal-dysfunction-in-children-and-adolescents-following-traumatic-brain-injury
#3
David Krahulik, Darina Aleksijevic, Vratislav Smolka, Eva Klaskova, Petra Venhacova, Miroslav Vaverka, Vladimir Mihal, Jirina Zapletalova
BACKGROUND AND AIMS: Retrospective studies of TBI have found a neuroendocrine dysfunction following traumatic brain injury in 23 to 60% of adults and 15 to 21% of children. Our aims were to determine the prevalence of hypothalamo-hypophyseal dysfunction in children following brain injury, assess its relationship to the type of injury and the course of the acute post-traumatic phase. PATIENTS AND METHODS: Body development (growth, pubertal development, and skeletal maturity) were evaluated in 58 patients (21 girls) after a brain injury rated 3 to 12 on the Glasgow Coma Scale (GCS)...
September 19, 2016: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
https://www.readbyqxmd.com/read/27571172/traumatic-brain-injury-due-to-screwdriver-assaults-literature-review-and-case-report
#4
Pavlos Pavlidis, Maria-Valeria Karakasi, Theodossios A Birbilis
Penetrating head injuries due to the use of screwdrivers as wounding agents in acts of interpersonal violence seldom occur. The aim of this article is to update and summarize the relevant literature on penetrating craniocerebral screwdriver stab wounds and to report a new case of screwdriver assault. A number of studies were reviewed to investigate the incidence, distribution, common findings, mechanism of injury, differential diagnostic criteria, complications, treatment, and prognosis of craniocerebral screwdriver stab injuries...
August 26, 2016: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/27514081/-peculiarities-of-course-of-traumatic-disease-in-the-injured-persons-in-combined-cranioabdominal-trauma
#5
Ya L Zarutskyi, A E Tkachenko
Prospective investigation of the traumatic disease course was conducted in 71 injured persons, suffering a combined cranioabdominal trauma with the objective to determine the main functional systems and dynamics of their state severity. The occurrence rate and the severity degree of cardiovascular insufficiency were determined--in accordance to indices of the integrative body rheography and integrative dual frequency impedansometry, respiratory insufficiency (PaO₂/FiO₂ ratio), the organ insufficiency severity (in accordance to SOFA scale)...
March 2016: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/27450528/differences-in-cognitive-function-of-rats-with-traumatic-brain-injuries-following-hyperbaric-oxygen-therapy
#6
Xiaonian Zhang, Xiaoyan Wang, Xinting Sun, Xiaojing Sun, Yue Zhang, Hao Zhang
BACKGROUND Hyperbaric oxygen (HBO) is a historical therapeutic option in the treatment of various types of brain damage. At present, clinical treatment of hypoxic-ischemic injury is giving priority to cognitive training. The effects of HBO on cognitive dysfunction were observed in a controlled cortical impact (CCI) rat model. MATERIAL AND METHODS Seventy male SD rats were randomly divided into control (n=10) and intervention (n=60) groups. All rats underwent baseline water maze testing 1 day before modeling, and were retested 8 weeks after modeling...
July 23, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27414146/epidemiological-characteristics-and-overall-burden-of-accidental-injuries-in-navarra-spain-epidemiology-of-injuries-in-children
#7
Marta Ferraz-Torres, Tomás Belzunegui-Otano, Oscar Martínez-García, Laura Iriarte-Cerdán, Esther Salgado-Reguero
Injuries caused by accidents or violent situations in pediatric patients are a serious social problem where prevention plays a key role. The aim of this study was to describe the epidemiological situation of pediatric injuries in Spain. A prospective study of pediatric patients receiving care in the Emergency Service of the Complejo Hospitalario de Navarra due to for reasons of accidental injury was conducted. The study covered a period of 1 year and assessed a total of 16 variables. There were a total of 8,876 patients, of whom 56...
July 2016: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/27400253/basilar-fracture-due-to-frozen-corpse-a-case-report
#8
Junchao Zhang, Yibo Yan, Yiqun Chen, Sizhe Huang, Liang Liu
Basilar fractures are one of the consequences of craniocerebral injury, which is serious enough to cause death. Legal examiners often pay attention to basilar fractures at autopsy and analyze the relationship between them and death. It is noteworthy whether the fracture is premortem or postmortem. Here, we describe a rarely reported case of basilar fracture due to freezing. In this case, a 30-year-old man was frozen (-18°C) for 6 months after death. At autopsy, external examination showed no trauma. However, on internal examination, there was a basilar fracture which caused controversy but turned out to be a postmortem injury...
September 2016: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/27388137/combined-monitoring-of-intracranial-pressure-and-bispectral-index-in-patients-with-severe-craniocerebral-trauma-post-operatively
#9
L Dong, L Chen, T Shi, M Wei, H Z Zhang, Y P Li, L She, Z C Yan
OBJECTIVE: To investigate the value of simultaneous bispectral index (BIS) and intracranial pressure (ICP) monitoring to evaluate postoperative consciousness and short-term prognosis in patients with severe traumatic brain injury. METHODS: We evaluated 30 brain trauma coma patients in the People's Hospital of Northern Jiangsu Province from January 2014 to December 2014 and evaluated Glasgow Coma Scale (GCS) scores at 8-h intervals for 3days after surgery. BIS and ICP values were recorded at the same time...
September 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27358141/changes-in-phagocytosis-and-expression-of-microglial-cells-in-craniocerebral-injury-mice-models
#10
F Y Guo, T Liu, J J Chen, W Gao, F Yang, X Y Zhou, Y L Liao
The objective of this study was to investigate the changes in phagocytic function and expression quantities of CD11b and tumor necrosis factor-α (TNF-α) among microglia cells of craniocerebral injury mice. Modified Feeney method was used to establish the craniocerebral injury mice models. Twenty-one male SPF mice were divided into a control group and a trauma group. The scalp was incised and a bone window was opened in the control group without cerebral injury. In the trauma group, the mice were sacrificed after the craniocerebral injury at 1, 3, 6, 12, 24 and 48 h to make frozen sections of cerebral tissues...
April 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/27308253/traumatic-brain-injury-related-research-in-india-an-overview-of-published-literature
#11
Amit Agrawal, Ashok Munivenkatappa, Dhaval P Shukla, Geetha R Menon, Rajesh Alogolu, Sagar Galwankar, Saginela Satish Kumar, Pathapati Rama Momhan, Ranabir Pal, Neeti Rustagi
AIM: This paper provides an overview of publications by Indian researchers on traumatic brain injury between 1966 and 2014, to set up a platform for evaluating and synthesizing the results and findings from brain injury research in India. MATERIALS AND METHODS: All published articles from India related to brain injury since 1966 to 2014 were retrieved from PubMed using the search for ("craniocerebral trauma"[MeSH Terms] OR ("craniocerebral"[All Fields] AND "trauma"[All Fields]) OR "craniocerebral trauma"[All Fields] OR ("head"[All Fields] AND "injury"[All Fields]) OR "head injury"[All Fields]) AND ("India"[MeSH Terms] OR "India"[All Fields]) A data base for variables like study type/category, year of publication, place of study institutes and departments to which the corresponding author belonged or where the study was conducted and the journal of publication was developed in FileMaker Pro 13 Advanced(®) software...
April 2016: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/27161461/internal-carotid-artery-aneurysms-presenting-with-epistaxis-our-experience-and-review-of-literature
#12
Kanwaljeet Garg, Hitesh Kumar Gurjar, Pankaj Kumar Singh, Manmohan Singh, P Sarat Chandra, Bhawani Shankar Sharma
AIM: Intracranial internal carotid artery aneurysms are an extremely rare cause of spontaneous epistaxis, with a few documented cases. The management of such cases is challenging due to the relative anatomical inaccessibility of the bleeding point. The aim of the present study was to acquaint the readers with this rare type of aneurysm presenting with epistaxis and to report our experience of treating cases of severe epistaxis due to internal carotid artery (ICA) aneurysms. MATERIAL AND METHODS: Data of 4 patients with İCA aneurysms presenting with epistaxis from June 2011 to July 2013 was retrospectively reviewed...
2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27120900/-fatal-explosion-injuries-from-blasting-a-cigarette-machine
#13
Burkhard Madea, Hani Ridwan, Volker Längin, Elke Doberentz
In the last few years, a growing number of cases have been reported in Germany in which vending machines have been blasted by criminals to get at the money. Thus, it was only a question of time for the first fatalities to occur as a consequence of such careless explosions. We report on the death of a 16-year-old boy who died after triggering an explosion by spraying a deodorant into the coin slot of a cigarette machine. Death was caused by severe craniocerebral trauma due to tertiary blast-related injuries when the front plate of the machine hit the victim's cerebral and facial skull...
March 2016: Archiv Für Kriminologie
https://www.readbyqxmd.com/read/27001780/intra-arterial-infusions-and-doplerograpic-control-for-complex-treatment-of-upper-and-middle-facial-zones-concomitant-with-traumatic-craniocerebral-injuries
#14
G Lagvilava, Z Gvenetadze, E Gibradze, T Danelia, G Gvenetadze
Maxillofacial traumatic injuries concomitant with craniocerebral trauma are still considered as an actual problem in emergency medicine. For this category of patients one of the dangerous and severe complications is development of inflammatory process in the injured areas. Fracture lines of upper and middle facial zones pass through the accessory sinuses of the nose, maxillary/upper dental arch area and are considered to be open and infected fractures. Combination of these fractures with craniocerebral injuries and especially, with open traumas creates predisposition for development of inflammatory processes in CNS that can result in heavy outcome...
February 2016: Georgian Medical News
https://www.readbyqxmd.com/read/26958051/hyperglycemia-is-a-predictor-of-prognosis-in-traumatic-brain-injury-tertiary-intensive-care-unit-study
#15
Berna Terzioglu, Osman Ekinci, Zafer Berkman
BACKGROUND: Hyperglycemia is frequently encountered in critically ill patients and has been shown to contribute to both morbidity and mortality. We aimed to study the predictive role of blood glucose level in clinical outcomes of mechanically ventilated patients with traumatic brain injury during intensive care unit (ICU) stay and to explore its relationship with Glasgow coma scale (GCS) and acute physiology and chronic health examination (APACHE) II scores that are used in the evaluation of ICU patients as predictor...
December 2015: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/26902709/traumatic-dysgeusia-an-unusual-complication-of-facial-trauma-a-case-report
#16
João Paulo Bonardi, Fernanda Herrera da Costa, Glaykon Alex Vitti Stabile, Cecilia Luiz Pereira-Stabile
The chemical senses of taste and smell are important to human life, because they play an important role in detecting potential environmental hazards. Humans can identify countless different flavors by the simultaneous perception of taste and smell. Reports of sensory loss after craniocerebral trauma began to appear in the medical literature in the middle 1800s. Dysgeusia associated with head injuries is rare and its reported incidence is 0.4 to 0.5%. This report describes the clinical case of a 32-year-old man with Le Fort I and III fractures treated with surgical reduction and fixation...
July 2016: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/26762659/-neuromonitoring-of-severe-craniocerebral-trauma-in-paediatric-patients
#17
Daisy Abreu Pérez, Angel Jesús Lacerda Gallardo, Julio Antonio Díaz Agramonte, Daiyan Martín Chaviano
INTRODUCTION: Severe craniocerebral trauma is the main cause of morbidity and mortality in children worldwide. Neuromonitoring of these patients in Cuba is not routine in paediatric intensive cares units, and there is no standardised protocol for its use in these units. MATERIALS AND METHODS: A correlational longitudinal prospective study was conducted on all patients admitted to the paediatric intensive care unit with the diagnosis of severe craniocerebral trauma in the period between January 2003 and December 2014...
July 2016: Neurocirugía
https://www.readbyqxmd.com/read/26617135/enteral-nutritional-support-in-patients-with-head-injuries-after-craniocerebral-surgery
#18
RANDOMIZED CONTROLLED TRIAL
Chun-Hua Li, Dong-Pu Chen, Jing Yang
AIM: To explore the effect of early enteral (EN) and parenteral nutritional (PN) support on head-injured patients after craniocerebral surgery. MATERIAL AND METHODS: We randomly divided 120 head trauma patients into two groups: those receiving EN and those receiving PN support (60 patients each). Physiological and biochemical indices, monitoring time and cost, and the incidence of complications were compared between the two groups. RESULTS: More patients presented with complications in the PN than the EN group, and this difference was statistically significant (P < 0...
2015: Turkish Neurosurgery
https://www.readbyqxmd.com/read/26540973/-clinical-research-and-discussion-of-modified-cranioplasty
#19
RANDOMIZED CONTROLLED TRIAL
Hongpeng Du, Zefu Li, Meng Li, Lijun Li
OBJECTIVE: To study and design a modified cranioplasty, and to explore the effectiveness so as to reduce the incidence rate of operative complications. METHODS: A total of 68 patients with craniocerebral trauma or hypertensive cerebral hemorrhage between August 2012 and March 2014 were selected and randomly divided into 2 groups. The standard decompress craniectomy and under-temporal cranioplasty were performed in 32 cases (group A), and several small bone chips were placed under-tempus during decompress craniectomy and then the shape of temporal muscle was designed and the temporal muscle was reconstructed at the attachment sites during cranioplasty in 36 cases (group B)...
July 2015: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/26483656/technique-of-stepwise-intracranial-decompression-combined-with-external-ventricular-drainage-catheters-improves-the-prognosis-of-acute-post-traumatic-cerebral-hemispheric-brain-swelling-patients
#20
Lei Shi, Guan Sun, Chunfa Qian, Tianhong Pan, Xiaoliang Li, Shuguang Zhang, Zhimin Wang
BACKGROUND: Acute post-traumatic cerebral hemispheric brain swelling (ACHS) is a serious disorder that occurs after traumatic brain injury, and it often requires immediate treatment. The aim of our clinical study was to assess the effects of stepwise intracranial decompression combined with external ventricular drainage (EVD) catheters on the prognosis of ACHS patients. METHODS: A retrospective study was performed on 172 cases of severe craniocerebral trauma patients with ACHS...
2015: Frontiers in Human Neuroscience
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