1/15. Human hypersensitivity angiitis: an uncommon cause of death after trauma.INTRODUCTION: The article demonstrates, using a case report, that death following an accident may have rarely encountered causes that are not a direct result of trauma and that can only be detected by autopsy. CASE: An unconscious woman aged 57 years was admitted to hospital. Despite immediate surgery for intracranial haemorrhage diagnosed by means of cranial computed tomography, the patient died showing clinical symptoms of circulatory depression after a brief period of stabilisation. The autopsy established myocardial infarction with hypersensitivity angiitis as the cause of death. CONCLUSION: In this case, the authors hold the opinion that the intravenous application of antibiotics during the patient's stay in hospital resulted in hypersensitivity angiitis. The factors causing hypersensitivity angiitis, the morphological picture (clinical, histological) and therapeutic measures are described.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
2/15. Phenoprocoumon, head trauma and delayed intracerebral haemorrhage.Delayed traumatic intracerebral haemorrhage (DTICH) constitutes a serious complication of head injury, and several studies have set out to identify predisposing clinical variables and appropriate management strategies. Here we report a distinct and particularly malignant course of DTICH associated with oral anticoagulant therapy.- - - - - - - - - - ranking = 5keywords = haemorrhage (Clic here for more details about this article) |
3/15. The use of nasal endoscopy to control profuse epistaxis from a fracture of the basi-sphenoid in a seven-year-old child.A seven-year-old child sustained a fracture of her basisphenoid resulting in profuse, life-threatening haemorrhage which could not be controlled with a post-nasal pack. The fracture site was identified using rigid endoscopy and packed with oxidized cellulose, resulting in immediate control of the haemorrhage. The use of the nasal endoscope in the management of posterior epistaxis is discussed.- - - - - - - - - - ranking = 2keywords = haemorrhage (Clic here for more details about this article) |
4/15. Management of severe postnasal haemorrhage: the Kingsley splint revisited.Postnasal haemorrhage accompanying severe craniofacial trauma may have catastrophic consequences if not arrested promptly. The airway has usually been secured and the cervical spine stabilized, but apart from fluid replacement, other attempts to control haemorrhage in the resuscitation room of the accident and emergency department may be to no avail. We wish to draw attention to a simple device that was introduced over 100 years ago and which may rapidly aid haemostasis and prevent the onset of hypovolaemic shock.- - - - - - - - - - ranking = 6keywords = haemorrhage (Clic here for more details about this article) |
5/15. Camel racing: a new cause of extradural haemorrhage in australia.Camel racing is a relatively new sport in australia. A 52 year old woman fell from her camel during a country race. Although she was wearing an approved equestrian helmet, she suffered a skull fracture and a life-threatening extradural haematoma. Her treatment highlights the key issues of management of head injuries in remote places. A paramount requirement is close collaboration between country medical practitioner, neurosurgeon and retrieval specialist.- - - - - - - - - - ranking = 4keywords = haemorrhage (Clic here for more details about this article) |
6/15. Leptomeningeal cyst: early diagnosis by color Doppler imaging.A newborn with a leptomeningeal cyst over the anterior fontanelle due to birth trauma is described. color Doppler flow sonograms were helpful to diagnose the leptomeningocele in its early stages and to differentiate it from a cephalhematoma or subgaleal haemorrhage by demonstrating cerebro-fugal flow in an arterial connection between the extracranial fluid collection and the dural space.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
7/15. Zygomatic bone fractures complicated by retrobulbar haemorrhage.The two patients described in this report demonstrate retrobulbar haemorrhage as a complication of zygomatic bone fracture. Successful treatment of this rare but very serious complication involves urgent consultation with an ophthalmology service, and immediate medical and surgical management. It is extremely important to check the vision of patients with zygomatic bone fracture, before and after surgery, and consideration should be given to obtaining an ophthalmology opinion for all fractures involving the orbit. A simple examination, which every dentist should be able to perform, should include inspection of the eye, a test of visual acuity, testing eye movements, testing visual fields, reaction of the pupils, and an examination for proptosis.- - - - - - - - - - ranking = 5keywords = haemorrhage (Clic here for more details about this article) |
8/15. Traumatic neonatal intracranial bleeding and stroke.Ischaemia within the regions supplied by vertebral and posterior cerebral arteries has been described as a complication of birth injury, either by direct trauma or by compression from a herniated temporal uncus. Ischaemia within the territory of the middle cerebral artery has been documented after a stretch injury of the vessel's elastica interna. From a series of seven personal observations on birth trauma and related cerebral stroke, we describe three neonates with the uncal herniation type of occipital stroke and four infants with hypoperfusion of the middle cerebral artery or one of its major branches. In three of the latter a basal convexity subdural haemorrhage probably induced the ischaemia, whereas in the other it was associated with haemorrhagic contusion of the parietal lobe. Experimental work and reports on older children support the idea that vasospasm due to surrounding extravasated blood can be one of the responsible mechanisms. Both forceps delivery and difficult vacuum extraction can be implicated in this supratentorial injury, leading to permanent neurological damage in at least half of the survivors in this series.- - - - - - - - - - ranking = 1keywords = haemorrhage (Clic here for more details about this article) |
9/15. Subgaleal suction drain leading to fatal sagittal sinus haemorrhage.The use of wound drains in surgical practice, very often falls into the realm of habit, rather than science. The utility of a prophylactic drain in surgical wounds may be questionable, but this practice is not uncommon, despite complications. We report a case of fatal haemorrhage from the superior sagittal sinus, due to a closed negative suction drain of the craniotomy wound in an infant operated upon for a growing fracture skull.- - - - - - - - - - ranking = 5keywords = haemorrhage (Clic here for more details about this article) |
10/15. The medical management of retrobulbar haemorrhage complicating facial fractures: a case report.A case of delayed retrobulbar haemorrhage following an orbital floor fracture is reported. Virtual total loss of vision occurred; however, intense medical therapy produced such a dramatic response that surgical decompression was not necessary. On 6 month follow-up the patients visual function was entirely normal in all respects.- - - - - - - - - - ranking = 5keywords = haemorrhage (Clic here for more details about this article) |
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