1/19. Concomitant post-traumatic craniocervical junction epidural hematoma and pontomedullary junction infarction: clinical, neurophysiologic, and neuroradiologic features.STUDY DESIGN: A case report. OBJECTIVES: To report and discuss a case of post-traumatic epidural hematoma of the craniocervical junction with concomitant brain stem infarction. SUMMARY OF BACKGROUND DATA: Post-traumatic epidural hematoma of the cervical spine and brain stem post-traumatic infarction are very rare disorders. Post-traumatic epidural hematoma is usually located dorsally in the epidural space. methods: The clinical, neuroradiologic, and neurophysiologic findings in one patient with post-traumatic epidural hematoma located ventrally at the cervicomedullary junction and associated with medial infarction at the pontomedullary junction are reported. RESULTS: The main clinical finding in this patient was bilateral corticospinal and corticobulbar tract involvement. A magnetic resonance image showed displacement and flattening of the medulla oblongata and of the most cranial portion of cervical cord, which were caused by the epidural hematoma associated with an ischemic lesion of the pontomedullary junction. Results of central motor conduction studies indicated that the abnormality of the central motor pathways was localized at brain stem level, and that there was normal conduction from the cervicomedullary junction to spinal cord. CONCLUSION: This is the first reported case of spinal epidural hematoma located ventrally in the cervical spine at the cervicomedullary junction level and concomitant infarction at the pontomedullary junction resulting from whiplash injury.- - - - - - - - - - ranking = 1keywords = post-traumatic (Clic here for more details about this article) |
2/19. Cerebral aneurysms of traumatic origin.This report reviews 41 cases of traumatic cerebral aneurysms, including four cases of our own which are presented in detail. They may follow penetrating or closed head injury, and are usually associated with significant additional intracranial damage. Almost half of the patients presented with a delayed subarachnoid hemorrhage within three weeks of the initial head injury, defining an important neurological syndrome. Those patients whose post-traumatic aneurysms have been surgically obliterated have an associated mortality which is half that of patients treated by nonsurgical methods.- - - - - - - - - - ranking = 0.14285714285714keywords = post-traumatic (Clic here for more details about this article) |
3/19. Reconstruction of a large post-traumatic cranial defect with a customized titanium plaque.The treatment of serious cranial defects has always been a fascinating and controversial issue for craniofacial surgeons and in the last years many solutions have been proposed. One of the most effective method is a personalized titanium plaque prepared by processing anatomical data obtained with a CAT of the patient. A case of wide cranial defect on the left fronto-parietal region in a 56-year-old man treated with a personalized titanium plaque obtained by processing the data of a spiral CAT of the skull is described. No complications were observed in the postoperative course and follow-up after 6 moths showed that the patient was in good general condition.- - - - - - - - - - ranking = 0.57142857142857keywords = post-traumatic (Clic here for more details about this article) |
4/19. aspirin as a risk factor for hemorrhage in patients with head injuries.The role of aspirin as a risk factor in the occurrence of intracranial bleeding following head injury was investigated. Chronic subdural hematoma appears to be a suitable model for the evaluation of risk factors in the development of hemorrhage. The most common risk factors found in our study were, apart from age, chronic alcohol abuse (28%), consumption of cumarin-derivates (21%), aspirin (13%), and heparin (5%). A patient undergoing aspirin treatment must be considered at risk of development of chronic subdural hematoma. aspirin should not be prescribed to patients with post-traumatic headaches.- - - - - - - - - - ranking = 0.14285714285714keywords = post-traumatic (Clic here for more details about this article) |
5/19. Unusual anaphylatoxin dynamics after head injury--case report.The case reported exemplifies a clinical picture markedly at variance with the chronology of symptoms and laboratory findings generally held to be typical in patients with post-traumatic shock. During a protracted clinical course this young man with a skull fracture and epidural haematoma experienced profound hypotension and adult respiratory distress syndrome (ARDS) well in advance of marked fourfold rise of circulating peripheral C3a desArg anaphylatoxin levels. This raises a note of caution with regard to diagnostic and/or therapeutic decisions based on anaphylatoxin assessment of neurosurgical trauma patients at risk of ARDS.- - - - - - - - - - ranking = 0.14285714285714keywords = post-traumatic (Clic here for more details about this article) |
6/19. Extradural hematoma complicating middle fossa arachnoid cyst.Two cases of post-traumatic extradural hematoma complicating an arachnoid cyst of the middle cranial fossa in children are described. While subdural and intracystic hemorrhages are well-known complications from this malformation, the association with extradural hematoma has never been previously reported in the literature. The pathogenetic mechanisms are discussed and the particular vulnerability of intracranial arachnoid cysts is stressed.- - - - - - - - - - ranking = 0.14285714285714keywords = post-traumatic (Clic here for more details about this article) |
7/19. Ossified epidural hematoma. Report of a case with epilepsy.A case of post-traumatic ossified epidural hematoma associated to epileptic seizures is reported. After surgical treatment complete recovery was obtained.- - - - - - - - - - ranking = 0.14285714285714keywords = post-traumatic (Clic here for more details about this article) |
8/19. The benign acute epidural haematoma.The Authors propose a new approach to the treatment and prognostic evaluation of post-traumatic supratentorial acute epidural haematoma (PSAEH). As far as this lesion is concerned a group of patients with a favourable prognosis and without indications for a surgical treatment may be identified. To this purpose, the clinical picture, characterized by a slight symptomatology undergoing a regression phase (stupor, headache, etc.) and a skull CT-scan, characterized by a slight shift of the middle line structures and by the volume of haematoma less than 55 cc, are important aids.- - - - - - - - - - ranking = 0.14285714285714keywords = post-traumatic (Clic here for more details about this article) |
9/19. Acute extradural haematoma following trivial trauma in a case of osteogenesis imperfecta.A case of an extensive extradural haematoma as a complication in a patient with osteogenesis imperfecta is reported. The significance of careful appraisal and post-traumatic, neurosurgical observation of patients with osteogenesis imperfecta and a history of recent, albeit seemingly trivial, head injury is discussed.- - - - - - - - - - ranking = 0.14285714285714keywords = post-traumatic (Clic here for more details about this article) |
10/19. Post-traumatic epidural hematoma in two patients with long-standing "arrested" hydrocephalus.The occurrence of a post-traumatic epidural hematoma in two patients with long-standing "arrested" hydrocephalus is reported. There was a relatively long interval between the head injury and the onset of symptoms. The large hematoma was accommodated by the decrease in size of the markedly dilated ventricles. This report stresses the possibility of the presence of an epidural hematoma in the management of head injury in patients with long-standing "arrested" hydrocephalus.- - - - - - - - - - ranking = 0.14285714285714keywords = post-traumatic (Clic here for more details about this article) |
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