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https://www.readbyqxmd.com/read/27894562/todd-s-paresis-in-acute-mild-head-trauma
#1
Alan Cowley, David Wright, Thomas Breen, Richard Lyon
We present the case of an adult male who sustained Todd's paresis after a traumatically induced seizure in a patient with an isolated facial injury. The precipitating event was head trauma from a golf club. The patient had no previous history of seizures and went on to make a complete neurologic recovery with no cerebral pathology noted. A literature review suggests that Todd's paresis after trauma is very rare as opposed to occurring in the medical or long-term brain injury settings. Although the authors acknowledge that it may occur in trauma, the awareness within the prehospital setting is sufficiently rare for this case report to be of interest to prehospital clinicians; it is important prehospital clinicians are aware of this condition...
November 2016: Air Medical Journal
https://www.readbyqxmd.com/read/27882255/tip-of-an-iceberg-skull-fracture-as-an-adult-presentation-of-encephalocraniocutaneous-lipomatosis
#2
Sinead Culleton, Christen D Barras, Hamed Asadi, Seamus Looby, Paul Brennan, Hong Kuan Kok
The severity of seizures presenting to the emergency department ranges from benign to life threatening. There are also a wide number of possible etiologies. Computed tomography (CT) emergency imaging may be required at presentation to elucidate a possible cause and assess signs of intracranial trauma. This case describes a serious seizure episode in a young man while on holiday. A CT brain showed a skull fracture as a consequence of seizure-related head trauma but unexpectedly there were image findings consistent with encephalocraniocutaneous lipomatosis...
2016: Case Reports in Neurological Medicine
https://www.readbyqxmd.com/read/27847782/traumatic-pseudoaneurysm-related-to-calcified-nodules-of-cerebral-convexity-dura-mater-in-an-american-college-football-player
#3
Yoo Sung Jeon, Jong Gon Lee, Young Il Chun, Joon Cho, Woo Jin Choe
Repeated concussion is common among football players; however, these minor blunt head trauma rarely result in serious complications. We report a case of a young college football player who presented acute subdural hematoma, cerebral edema, and seizure due to pseudoaneurysm rupture. The pseudoaneurysm, located at the cortical branch of the middle cerebral artery, was speculated to be formed by dural calcification and adhesion with the underlying brain, possibly due to repeated concussions. Following successful excision of the pseudoaneurysm and control of brain swelling, the patient recovered without sequelae and was discharged after a short while...
September 2016: Journal of Cerebrovascular and Endovascular Neurosurgery
https://www.readbyqxmd.com/read/27818370/can-diffusion-weighted-imaging-be-used-as-a-tool-to-predict-seizures-in-patients-with-pleds
#4
Jaishree Narayanan
It is unclear which patients with PLEDs will have associated seizures and therefore will need to be treated aggressively with antiepileptic medications. We present a prospective observational study of ten consecutive non-anoxic patients with PLEDs based on continuous 24-hour EEG monitoring. According to the EEG, five of the patients had seizures associated with PLEDs and five had PLEDs but no seizures. The aetiology included: neoplasm (n=1), cortical dysplasia (n=1), acute head trauma (n=1), encephalomalacia related to healed abscess (n=1), intra-parenchymal haemorrhage (n=1), and no structural lesion (n=5)...
November 4, 2016: Epileptic Disorders: International Epilepsy Journal with Videotape
https://www.readbyqxmd.com/read/27649001/posterior-shoulder-fracture-dislocation-double-approach-treatment-our-experience
#5
Gennaro Fiorentino, Riccardo Cepparulo, Enricomaria Lunini, Alberto Guardoli, Luca Berni, Alberto Fontanarosa, Aldo Guardoli
BACKGROUND: About 4% of glenohumeral dislocations are posterior and only 1% is associated with fracture of the humeral head. Most frequent causes are high energy traumas, seizures and electrocution. The fracture and the posterior dislocation, associated with the trauma and capsular lesion can cause an important vascular damage of the humeral head. METHODS: We describe 5 cases of posterior fracture-dislocation of the shoulder that required open reduction and internal fixation treated using double approach: posterior approach for reduction humeral head and eventually bone and capsular posterior repair and anterior approach for osteosynthesis...
2016: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/27562590/posterior-shoulder-fracture-dislocation-an-update-with-treatment-algorithm
#6
Zinon T Kokkalis, Ilias D Iliopoulos, Georgia Antoniou, Thekla Antoniadou, Andreas F Mavrogenis, Elias Panagiotopoulos
Posterior shoulder fracture-dislocation is a rare injury accounting for approximately 0.9 % of shoulder fracture-dislocations. Impression fractures of the articular surface of the humeral head, followed by humeral neck fractures and fractures of the lesser and grater tuberosity, are the more common associated fractures. Multiple mechanisms have been implicated in the etiology of this traumatic entity most commonly resulting from forced muscle contraction as in epileptic seizures, electric shock or electroconvulsive therapy, major trauma such as motor vehicle accidents or other injuries involving axial loading of the arm, in an adducted, flexed and internally rotated position...
August 25, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27555776/clinical-characteristics-of-patients-with-benign-nonlesional-temporal-lobe-epilepsy
#7
Jiyeon Kim, Seong Hoon Kim, Sung Chul Lim, Woojun Kim, Young-Min Shon
PURPOSE: To evaluate the evolution of nonlesional temporal lobe epilepsy (TLE-NL) in patients treated exclusively with antiepileptic drugs and to elucidate clinical phenotypes related to the prognosis of these patients. METHODS: Clinical, radiological, and electroencephalographic (EEG) findings in 84 patients with TLE-NL were reviewed. A good response group (GRG) and a poor response group (PRG) were defined if the duration of their seizure-free period was >1 year, or <1 year, respectively...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/27489465/evaluation-of-cases-with-cerebral-thrombosis-in-children
#8
Olcay Ünver, Gazanfer Ekinci, Büşra Işın Kutlubay, Thomas Gülten, Sağer Güneş, Nilüfer Eldeş Hacıfazlıoğlu, Dilşad Türkdoğan
AIM: We aimed to evaluate the patients who were followed up in our clinic with a diagnosis of cerebral sinovenous thrombosis in terms of age, sex, clinical findings, etiology, thrombophilic factors, imaging findings, treatment and prognosis. MATERIAL AND METHODS: The files of 11 patients who were followed up in our pediatric neurology clinic with a diagnosis of cerebral thrombosis between 1 December 2010 and 31 December 2014 were retrospectively analyzed. RESULTS: Seven of 11 patients were male (63...
June 2016: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/27322623/ten-novel-mutations-in-chinese-patients-with-megalencephalic-leukoencephalopathy-with-subcortical-cysts-and-a-long-term-follow-up-research
#9
Binbin Cao, Huifang Yan, Mangmang Guo, Han Xie, Ye Wu, Qiang Gu, Jiangxi Xiao, Jing Shang, Yanling Yang, Hui Xiong, Zhengping Niu, Xiru Wu, Yuwu Jiang, Jingmin Wang
OBJECTIVE: Megalencephalic leukoencephalopathy with subcortical cysts (MLC, OMIM 604004) is a rare neurological deterioration disease. We aimed to clarify clinical and genetic features of Chinese MLC patients. METHODS: Clinical information and peripheral venous blood of 20 patients and their families were collected, Sanger-sequencing and Multiple Ligation-dependent Probe Amplification were performed to make genetic analysis. Splicing-site mutation was confirmed with RT-PCR...
2016: PloS One
https://www.readbyqxmd.com/read/27307089/levetiracetam-prophylaxis-for-post-traumatic-brain-injury-seizures-is-ineffective-a-propensity-score-analysis
#10
Bardiya Zangbar, Mazhar Khalil, Angelika Gruessner, Bellal Joseph, Randall Friese, Narong Kulvatunyou, Julie Wynne, Rifat Latifi, Peter Rhee, Terence O'Keeffe
INTRODUCTION: Early seizures after severe traumatic brain injury (TBI) have a reported incidence of up to 15 %. Prophylaxis for early seizures using 1 week of phenytoin is considered standard of care for seizure prevention. However, many centers have substituted the anticonvulsant levetiracetam without good data on the efficacy of this approach. Our hypothesis was that the treatment with levetiracetam is not effective in preventing early post-traumatic seizures. METHODS: All trauma patients sustaining a TBI from January 2007 to December 2009 at an urban level-one trauma center were retrospectively analyzed...
November 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27272966/risk-factors-for-cerebral-venous-thrombosis
#11
Suzanne M Silvis, Saskia Middeldorp, Susanna M Zuurbier, Suzanne C Cannegieter, Jonathan M Coutinho
Cerebral venous thrombosis (CVT) is a rare thrombotic disorder involving the cerebral veins and dural sinuses. In contrast to more common sites of venous thromboembolism (VTE), such as the legs and lungs, CVT mainly affects young adults and children, and women are affected three times more often than men. Although presenting symptoms are variable, headache is usually the first symptom, often in combination with focal neurologic deficits and epileptic seizures. The primary therapy for CVT consists of heparin followed by oral anticoagulation for at least 3 to 6 months...
September 2016: Seminars in Thrombosis and Hemostasis
https://www.readbyqxmd.com/read/27258588/variation-in-seizure-prophylaxis-in-severe-pediatric-traumatic-brain-injury
#12
Paige J Ostahowski, Nithya Kannan, Mark S Wainwright, Qian Qiu, Richard B Mink, Jonathan I Groner, Michael J Bell, Christopher C Giza, Douglas F Zatzick, Richard G Ellenbogen, Linda Ng Boyle, Pamela H Mitchell, Monica S Vavilala
OBJECTIVE Posttraumatic seizure is a major complication following traumatic brain injury (TBI). The aim of this study was to determine the variation in seizure prophylaxis in select pediatric trauma centers. The authors hypothesized that there would be wide variation in seizure prophylaxis selection and use, within and between pediatric trauma centers. METHODS In this retrospective multicenter cohort study including 5 regional pediatric trauma centers affiliated with academic medical centers, the authors examined data from 236 children (age < 18 years) with severe TBI (admission Glasgow Coma Scale score ≤ 8, ICD-9 diagnosis codes of 800...
October 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27226867/posttraumatic-intracranial-tuberculous-subdural-empyema-in-a-patient-with-skull-fracture
#13
Jiha Kim, Choonghyo Kim, Young-Joon Ryu, Seung Jin Lee
Intracranial tuberculous subdural empyema (ITSE) is extremely rare. To our knowledge, only four cases of microbiologically confirmed ITSE have been reported in the English literature to date. Most cases have arisen in patients with pulmonary tuberculosis regardless of trauma. A 46-year-old man presented to the emergency department after a fall. On arrival, he complained of pain in his head, face, chest and left arm. He was alert and oriented. An initial neurological examination was normal. Radiologic evaluation revealed multiple fractures of his skull, ribs, left scapula and radius...
May 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27198074/-postictal-psychoses-clinical-and-neurobiological-findings
#14
B de Toffol, K Kanemoto
Psychosis in epilepsy can be categorized in relation to seizures in two main categories: interictal psychosis and postictal psychosis. Postictal psychosis (PIP) is a specific syndrome in relation to seizure activity: a clear temporal relation exists between the psychotic state of sudden onset and a precipitating bout of complex partial or generalized seizures. However, this very specific syndrome is not included as such within the DSM-5, and PIP belongs to the category "Psychotic disorder due to another medical condition"...
May 16, 2016: L'Encéphale
https://www.readbyqxmd.com/read/27176903/emergency-and-disaster-preparedness-of-school-transportation-staff-and-school-buses-in-the-united-states-compliance-with-recommendations-for-school-transportation-safety
#15
Robert P Olympia, Christopher Weber, Jodi Brady, Susana Ho
OBJECTIVE: The aim of the study was to determine the compliance of school transportation staff and school buses with recommendations for the safe transportation of children to and from school and school-related activities. METHODS: An electronic questionnaire was distributed to school transportation staff represented by the International Brotherhood of Teamsters during the 2013-2014 academic year. RESULTS: Analysis was performed on 558 completed questionnaires (13% usable response rate)...
May 12, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27153379/association-between-trauma-and-acute-hemorrhage-of-cavernous-malformations-in-children-report-of-3-cases
#16
Andrew A Fanous, Patrick K Jowdy, Lindsay J Lipinski, Lucia L Balos, Veetai Li
OBJECTIVE Cavernous hemangiomas are benign congenital vascular abnormalities. Intracerebral cavernous hemangiomas have an appreciable risk of spontaneous hemorrhage. Little is known as to whether head trauma increases the risk of bleeding for these lesions. In this study, the authors present a case series of 3 patients with posttraumatic nonspontaneous hemorrhage of intracerebral cavernous malformations (CMs). For the first time, to the authors' knowledge, they propose that trauma might constitute a risk factor for acute hemorrhage in intracerebral cavernomas...
September 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27142913/-clinicopathologic-study-of-intractable-epilepsy-related-encephalitis
#17
C C Liu, S Y Chen, Y S Piao, D H Lu
OBJECTIVE: To investigate the clinicopathologic features of intractable epilepsy related encephalitis. METHODS: The clinical and pathologic findings of 15 cases of intractable epilepsy after functional neurosurgical treatment were reviewed and analyzed retrospectively. RESULTS: All patients, including four male and 11 female, had medically intractable epilepsy. The mean age of onset for seizure was 5.3 years (1-15 years) and the disease duration was 4...
May 8, 2016: Zhonghua Bing Li Xue za Zhi Chinese Journal of Pathology
https://www.readbyqxmd.com/read/27057221/base-deficit-and-serum-lactate-concentration-in-patients-with-post-traumatic-convulsion
#18
Ibrahim Afifi, Ashok Parchani, Hassan Al-Thani, Ayman El-Menyar, Raghad Alajaj, Shereen Elazzazy, Rifat Latifi
INTRODUCTION: Traumatic brain injury is a major cause of morbidity and mortality worldwide, and has been reported to be one of the risk factors for epileptic seizures. Abnormal blood lactate (LAC) and base deficit (BD) reflects hypoperfusion and could be used as metabolic markers to predict the outcome. The aim of this study is to assess the prognostic value of BD and LAC levels for post traumatic convulsion (PTC) in head injury patients. MATERIALS AND METHODS: All head injury patients with PTC were studied for the demographics profile, mechanism of injury, initial vital signs, and injury severity score (ISS), respiratory rates, CT scan findings, and other laboratory investigations...
April 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/26931118/does-distracting-pain-justify-performing-brain-computed-tomography-in-multiple-traumas-with-mild-head-injury
#19
Homa Sadeghian, Rouzbeh Motiei-Langroudi
Traumatic brain injury (TBI) is a significant health concern classified as mild, moderate, and severe. Although the indications to perform brain computed tomography (CT) are clear in moderate and severe cases, there still exists controversy in mild TBI (mTBI). We designed the study to evaluate the significance of distracting pain in patients with mTBI. The study population included patients with mild traumatic brain injury (GCS ≥13). Moderate and high risk factors including age <18 months or ≥60 years, moderate to severe or progressive headache, ≥2 episodes of vomiting, loss of consciousness (LOC), post-traumatic amnesia, seizure or prior antiepileptic use, alcohol intoxication, previous neurosurgical procedures, uncontrolled hypertension, anticoagulant use, presence of focal neurologic deficits, deformities in craniofacial region, and penetrating injuries were excluded...
June 2016: Emergency Radiology
https://www.readbyqxmd.com/read/26904192/bilateral-posterior-shoulder-dislocation-after-electrical-shock-a-case-report
#20
Ismail Emre Ketenci, Tahir Mutlu Duymus, Ayhan Ulusoy, Hakan Serhat Yanik, Serhat Mutlu, Mehmet Oguz Durakbasa
INTRODUCTION: Posterior dislocation of the shoulder is a rare and commonly missed injury. Unilateral dislocations occur mostly due to trauma. Bilateral posterior shoulder dislocations are even more rare and result mainly from epileptic seizures. Electrical injury is a rare cause of posterior shoulder dislocation. Injury mechanism in electrical injury is similar to epileptic seizures, where the shoulder is forced to internal rotation, flexion and adduction. PRESENTATION OF CASE: This report presents a case of bilateral posterior shoulder dislocation after electrical shock...
December 2015: Annals of Medicine and Surgery
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