Cases reported "Brain Injuries"

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11/1558. Helping brain injured children and their families.

    For many brain injured children, whether the injury is congenital or the result of subsequent illness or accident, there is little to be done to put right the underlying problem. Treatment programmes, however, can encourage better motor and cognitive function and better nutrition. NHS continuing care for brain injured children is under-resourced, often amounting to only half an hour of physiotherapy fortnightly or even monthly. The British Institute for Brain Injured Children (BIBIC) is a registered charity which exists to help families with a brain injured child to learn to apply simple, practical, inexpensive treatment programmes themselves, in their own homes. Initial assessments and training take place at the BIBIC Centre in Somerset. Families are asked to contribute towards costs if they are in a position to, but treatment does not depend on ability to pay. Treatment sessions often last about 30 minutes and families may be advised to carry out two or more sessions every day. telephone help and continuing support is available from BIBIC, and families are encouraged to retain contact with their GP and hospital consultants, and local services. ( info)

12/1558. Bilateral epidural hematoma in a pyknodysostotic child.

    Pyknodysostosis is a rarely encountered disease. It is characterized by abnormal facial development, fragility of the bones with relatively mild trauma, cranial abnormalities including widely opened sutures and fontanels frontal bossing, wrinkled skin, finger and nail abnormalities. In the literature, pyknodysostosis was reported only as case reports. Here, we describe a pyknodysostotic child with a bilateral parietal epidural hematoma, caused by a relatively mild head trauma. He was operated on, and the hematoma was evacuated through two different parietal craniotomies. We reported this case, since pyknodysostosis is a rare disease, and our case is the first one who had a surgical intervention as well as being the first with an epidural hematoma in pyknodysostosis. ( info)

13/1558. intelligence test scores from infancy to adulthood for a craniopagus twin pair neurosurgically separated at 4 months of age.

    Long-term effects in a neurosurgically separated twin pair were illuminated by standard psychological test scores obtained over a period from 2 to 38 years of age. Interdigitation of the gyri of their right frontal lobes had necessitated separation in two stages at 4 months of age. One twin clearly suffered some brain injury and showed some impairment during the testing at 5 years of age. The scores of both twins rose at the adult testing. The brighter twin has an IQ comparable to that of the mother. The unique data set is a kind of model for long-term assessment of early brain surgery, particularly with craniopagus twins. ( info)

14/1558. Non-heart-beating donors: a case study in procurement.

    To help meet the increasing need for transplantable organs, especially kidneys, organ procurement organizations are recovering organs from non-heart-beating patients. This article outlines the successful recovery and transplantation of kidneys from such a donor. Consent issues and historical background are also discussed. ( info)

15/1558. Frozen in time: life in the face of chronic care cutbacks.

    Kathy Cook won the $750 first prize in CMAJ's 7th Annual Amy Chouinard Memorial Essay Contest. The deadline for entries to the contest, which is designed to stimulate interest in medical writing among journalism students, is June 1. Entries should be forwarded to the news and features editor. In her winning essay, Cook explores the frustrations and quality-of-life issues that arise in a chronic care institution that is trying to operate in the midst of serious funding cuts. ( info)

16/1558. death due to concussion and alcohol.

    We encountered 5 deaths following blunt trauma to the face and head in which the injuries were predominantly soft tissue in nature with absence of skull fractures, intracranial bleeding, or detectable injury to the brain. All individuals were intoxicated, with blood ethanol levels ranging from 0.22 to 0.33 g/dl. We feel that in these deaths, ethanol augmentation of the effects of concussive brain injury, with resultant posttraumatic apnea, was the mechanism of death. ( info)

17/1558. diffuse axonal injury in a rugby player.

    Sections of the cerebrum, cerebellum, and brain stem of a rugby player who died 15 hours after being tackled were stained using an immunoperoxidase technique to detect beta-amyloid protein. The sections of the pons showed axonal spheroids in the base, and those of the cerebellum showed axonal spheroids in deep white matter. The findings demonstrated axonal injury following a fall from the victim's height in a team sporting event. ( info)

18/1558. Citicoline for traumatic brain injury: report of two cases, including my own.

    Citicoline is an investigational new drug in this country that was provided on a compassionate use basis in two cases of traumatic brain injury after horseback riding accidents. While this report is primarily anecdotal, the behavioral observations in both cases suggested atypical patterns of improvement and perhaps greater recovery than might otherwise have been predicted. The side effect profile of this drug is negligible and previous experimental research has yielded positive findings for treatment after stroke and head trauma, as well as memory loss in aging. Consequently, Citicoline may potentially be very helpful for patients suffering traumatic brain injuries and should, in our opinion, be made available and studied further in this clinical population. ( info)

19/1558. Severe craniocerebral injury by an axe with good outcome: case report.

    We report a young patient who was operated on for a penetrating slow impact craniocerebral injury in the left frontal region caused by an axe. The patient was admitted comatose, with right hemiplegia. The blade of the axe was embedded deeply into his head. A craniectomy was carried out around the axe blade and it was removed easily. The cerebral wound was 6 cm long in horizontal plane and about 7 cm deep. Significant amount of contused and necrotic brain tissue was aspirated. The patient showed an uneventful recovery. ( info)

20/1558. citalopram treatment of traumatic brain damage in a 6-year-old boy.

    Traumatic brain damage may cause acute emotional symptoms such as uncontrolled crying, apathy, and sleep problems. rehabilitation may be less effective in patients afflicted by these symptoms. citalopram, a selective serotonin reuptake inhibitor (SSRI), has a documented immediate and dramatic effect on pathological crying in stroke patients. The present case history of a 6-year-old boy with a traumatic right-sided hemorrhage in the basal ganglia indicates that early SSRI treatment has a dramatic effect on pathological crying and in addition may have a concomitant beneficial effect on motor paresis, sleep disturbance, and neurobehavioral problems. ( info)
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