Celebral Contusions, Lacerations and Hematomas

Author:   G. Belanger ,  J. Berney ,  G. Foroglou ,  P. Harris
Publisher:   Springer Verlag GmbH
Volume:   v.3
ISBN:  

9783211819821


Pages:   272
Publication Date:   December 1990
Format:   Hardback
Availability:   In Print   Availability explained
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Celebral Contusions, Lacerations and Hematomas


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Overview

The book series Advances in Neurotraumatology, edited by the Neurotraumatology Committee of the World Federation of Neurosurgical Societies, described in the preceding Volume I the traumatic extracerebral collections and in Volume II the cervico-spinal injuries. Volume III deals in depth with the biomechanical, neuropathological and clinical pictures of traumatic lesions of the brain tissue itself, the most frequent consequences of severe head injuries. Experts in the field discuss the new results of their own clinical investigations, neuroimaging and electrophysiology on the interpretation of diffuse and focal dynamic development of supra- and infratentorial cerebral contusions, lacerations and hematomas. Above all they consider the important consequences of these aspects for individual treatment and prognosis. For practical purposes the detailed discussions of each clinical chapter are summarized in instructions for the daily practice.

Full Product Details

Author:   G. Belanger ,  J. Berney ,  G. Foroglou ,  P. Harris
Publisher:   Springer Verlag GmbH
Imprint:   Springer Verlag GmbH
Volume:   v.3
Weight:   0.690kg
ISBN:  

9783211819821


ISBN 10:   3211819827
Pages:   272
Publication Date:   December 1990
Audience:   College/higher education ,  Professional and scholarly ,  Postgraduate, Research & Scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   In Print   Availability explained
This item will be ordered in for you from one of our suppliers. Upon receipt, we will promptly dispatch it out to you. For in store availability, please contact us.

Table of Contents

Biomechanics of Brain Injuries.- Basic Injury Mechanics.- Force, Strain, Duration of Load.- Injurious Parameters.- Specific Brain Injury Mechanisms.- Anatomical Features.- Characteristics of Loading.- Cranial Effects of Loading.- Skull Deformation - Angular Acceleration Theory.- Pressure Gradient - Translational Acceleration Theory.- Cavitation.- Cranio-spinal Junction Movements.- Primary Injuries.- Fractures.- Focal Injuries.- Diffuse Injuries.- Aspects of Injury Reduction.- References.- Cerebral Hemispheric Contusions and Lacerations.- Contusions.- Immediate Cerebral Effects.- Types of Brain Contusions.- Macroscopic Pathology.- Microscopic Pathology.- Vascular Alterations.- Neuronal Lesions.- Glial Lesions.- Fiber Lesions.- Late Cerebral Effects.- General Remarks.- Posttraumatic Encephalopathies.- Macroscopic Pathology.- Microscopic Pathology.- Punch-drunk Encephalopathy.- Macroscopic Pathology.- Microscopic Pathology.- Lacerations.- Immediate Cerebral Effects.- Types of Brain Lacerations.- Macroscopic Pathology.- Microscopic Pathology.- Lacerations as Component of Cranio-cerebral Wounds.- Progressive Continuous Form of Brain Lacerations.- Late Lesionai Effects of Brain Lacerations.- Meningo-cerebral Scars.- Macroscopic Pathology.- Microscopic Pathology.- Summary.- References.- Diffuse Brain Injury and Brainstem Dysfunction.- Experimental Confirmation of Diffuse Brain Injury.- Types of Diffuse Brain Injury.- Diffuse Brain Swelling.- Diffuse Degeneration.- Gliding Contusion.- Clinical Aspects of Diffuse Brain Injury.- Diagnostic Criteria.- Cerebral Concussion.- Cerebral Shearing Injury.- Diffuse Axonal Shearing Injury.- Primary Brainstem Injury.- References.- Cerebral Contusions and Lacerations. A Clinical Study.- Symptomatology.- Disturbances of Consciousness.- Signs of Localization.- Diffuse Neurological Signs.- Clinical Synthesis.- Anatomo-clinical Forms.- Cerebral Contusion.- Cerebral Laceration.- Hematoma Contusions.- Evolutive Forms.- Extremely Serious Forms.- Serious Forms.- Less Serious Forms.- Benign Forms.- References.- Traumatic Brain Swelling and Brain Edema.- Diagnosis and Pathogenesis.- 1. Traumatic Brain Swelling.- 1.1. Diagnosis.- 1.2. Pathogenesis.- 2. Traumatic Brain Edema.- 2.1. Diagnosis.- 2.2. Pathogenesis.- 2.2.1. Vasogenic Brain Edema.- 2.2.2. Cytotoxic Brain Edema.- 3. Mediators.- Frequency and Temporal Development.- 1. Frequency.- 2. Temporal Development.- Intracranial Pressure.- Management.- 1. Brain Swelling.- 1.1. Basic Principles.- 1.2. Hyperventilation.- 1.3. Buffering of Brain Tissue Acidosis.- 2. Brain Edema.- 2.1. Removal of Mass Lesion.- 2.2. Repair of the Defective BBB.- 2.3. Improvement of Microcirculation.- 2.4. Control of Mediators.- 2.5. Support of Edema Clearance Rate.- 3. Intracranial Hypertension.- 3.1. Hyperosmotic Solutions.- 3.2. Loop Diuretics.- 3.3. Barbiturates.- Outcome.- 1. Early Outcome.- 2. Follow-up.- References.- Posttraumatic Intracerebral Hematomas.- Definition.- Incidence.- Etiology and Pathogenetic Mechanism.- Biomechanics.- Location.- Clinical Manifestations.- Localizing Signs.- Differential Diagnosis.- Intracerebral Hematomas Concerning Their Appearance in Time.- Intracerebral Bleeding in Children.- Paraclinical Investigations.- Radiography of the Skull.- Pneumoencephalography, Ventriculography.- Cerebral Angiography.- Isotope Scintigraphy.- Echoencephalography.- CT and MRI.- Clinicopathological Correlation.- Predicting Outcome with CT and MRI.- Treatment.- How to Do It.- References.- Posttraumatic Cerebellar Contusions and Hematomas.- Cerebellar Contusions.- Incidence, Distribution of Age and Sex.- Clinical Signs and Symptoms.- Diagnosis.- Differential Diagnosis.- Posterior Fossa Hematomas.- Epidural Hematomas.- Age and Sex Distribution; Location.- Etiology.- Pathological Effect.- Acute Epidural Hematoma.- Subacute and Chronic Hematomas.- Accompanying Lesions.- Clivus Extradural Hematoma.- Diagnosis.- Treatment.- Mortality.- Subdural Hematomas.- Incidence.- Pathology.- Diagnosis.- Treatment.- Mortality.- Intracerebellar Hematomas.- Incidence.- Signs, Symptoms, Diagnosis.- Surgical Treatment.- Results.- Conservative Treatment.- Subtentorial Subdural Hygroma.- Incidence.- Signs, Symptoms, Diagnosis.- Treatment.- Results.- Depressed Fractures.- How to Do It.- References.- Early Dynamic Evolution of Cerebral Contusions and Lacerations. Clinical and Radiological Findings.- Definition.- Radiological Findings.- Correlation of Clinical Manifestation and CT-findings.- Type of Lesions.- Time of Investigation.- Size of Contusions.- Location of Contusions.- Multiple Contusions, Accompanying Lesions.- State of Consciousness.- Enlargement of Contusions on Repeat Scan.- Dynamics of Cerebral Contusions.- Early CT scans.- Temporal Course.- Intracerebral Hematoma.- Frequency.- Secondary Delayed Intracerebral Hematoma.- Treatment.- Prognosis.- Mortality.- Manifestations.- Probability.- Overall Mortality.- Summary.- References.- Evoked Potentials in Head Injury.- Anatomical and Neurophysiological Considerations.- Somatosensory Evoked Potentials.- Visual Evoked Response.- Auditory Evoked Responses.- Prognostic Value of Evoked Potentials in Severe Head Injury.- Patients and Methods.- Results.- Discussion.- Conclusion.- Auditory Evoked Responses in Non-severe Head Injury.- Brain Death.- Patients and Methods.- Supratentorial Lesions.- Infratentorial Lesions.- Discussion.- Reliability of Evoked Potentials.- Conclusion.- How to Do It.- References.

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