BACKGROUND The frequency of head computed tomography (CT) imaging for mild head trauma patients has raised safety and cost concerns. Validated clinical decision rules exist in the published literature and on-line sources to guide medical image ordering but are often not used by emergency department (ED) clinicians. Using simulation, we explored whether the presentation of a clinical decision ru...

intracranial hemorrhage and entrapment neuropathy are the most serious and disabling complications in hemophilia.the occurance of these neurological complications was studied in 214 hemophiliac patients during a 3 month period. nine patients (4.2%) suffered intracranial hemorrhage (one epidural and others intracerebral). all of intracranial hemorrhage patients had the sevee form of disease (<1%...

post-traumatic epileptic seizure is a common complication of brain trauma including military injuries. we present clinical characteristics and correlates of post-traumatic epilepsy in 163 head-injured veterans suffering from intractable epilepsy due to blunt or penetrating head injuries sustained during the iraq-iran war. the medical records of 163 war veterans who were admitted by the epilepsy...

OBJECTIVE To evaluate the efficacy of routine follow-up CT scans of the head after complicated mild traumatic brain injury (TBI). METHODS 74 English language studies published from 1999 to February 2011 were reviewed. The papers were found by searching the PubMed database using a combination of keywords according to Cochrane guidelines. Excluding studies with missing or inappropriate data, 16...

OBJECTIVE To describe injuries and outcomes among children who fall from a height DESIGN Prospective, convenience hospital based study. SETTING Paediatric surgical wards of Kenyatta National Hospital, Nairobi, from November 2006 to February 2007. SUBJECTS Children aged 1-13 years who sustained injuries after failing from any height. RESULTS Eighty children were recruited. There were 61 ...

Treatment with anticoagulants and antiplatelet agents are well-known risk factors for an unfavourable outcome after traumatic brain injury (TBI). Guidelines for decision making in patients who sustained mild head injury do not apply to anticoagulated patients and therefore, in these cases diagnostic and therapeutic procedures have to be tailored patient-specific. A 69-year-old patient was refer...

A number of mechanisms other than direct orbital injury have been suggested to explain the fourth nerve palsy that may follow severe head injury. The mechanisms include brain-stem contusion or hemorrhage affecting the fourth nerve nucleus or fascicle and compression or stretching of the nerve at the tentorium or at other vulnerable locations along its subarachnoid course. In this patient, the f...

Pediatric abusive head trauma – once commonly known as the shaken baby syndrome – is a form of child abuse that results in traumatic brain injury. The peak incidence of pediatric abusive head trauma appears to be in children between the ages of 2 to 4 months; the exact incidence of this injury is not known. Pediatric abusive head trauma often results in severe and permanent neurological damage,...