Auditory brain-stem responses (ABRs) were studied in 66 subjects with severe head trauma. Middle latency responses (MLRs) were also recorded in 22 of them. Patients were carefully selected to avoid conditions such as pre-existing or acute deafness, hypothermia or ethanol intoxication. In order to evaluate the usefulness of potentials in predicting recovery, patients were classified according to...

Cerebral disorders are often associated with disturbance of consciousness. Since the latter could alter the prognosis of physical function, early improvement of consciousness level is important. The present study tested the hypothesis that sitting position improves disturbances of consciousness in patients with cerebral disorders. The subjects were 17 patients with cerebral disorders and distur...

A 41-year-old male presented with carbon monoxide (CO) exposure. The patient’s Glasgow Coma Scale (GCS) score was 9. Dual-energy CT (DECT) revealed a perfusion defect on the bilateral globus pallidus (Figure 1a). The patient was intubated and immediately underwent hyperbaric oxygen therapy (HBOT). In addition to normobaric oxygen therapy, two sessions on the first day and one session each on th...

Abbreviations: APACHE: Acute Physiology and Cronic Health Evaluation; CAPS: Clinician Administered PTSD Scale; DTS: Davidson Trauma Scale; GCS: Glasgow Coma Scale; HADS: Hospital Anxiety and Depression Scale; HRQoL: Health Related Quality of Life; IES: Impact of Events Scale; IES-R: Impact of Events Scale-Revised; ICU: Intensive Care Unit; ISS: Injury Severity Score; LOS: length of Stay; MV: Me...

Otogenic intracranial infections usually require both neurosurgical and otolaryngological surgery. This prospective, non-randomized study investigated the value of combining both surgical procedures. Thirteen patients with otogenic intracranial abscess were treated by mastoidectomy and abscess removal through the same incision between 1993 and 2002. Another 12 patients underwent abscess removal...

THis cross-sectional study was performed on 382 patients with depressed skull fracture admitted to the neurosurgery ward of Kerman Bahonar Haspital between 1994 and 1999.329 of the patients(86.1%) had open fractures,while the  fracture was of closed type in 53 cases (13.9%).of those with open fracture,42%were associated with dura tearing ,whereas the rate was 34% in closed fractures.the most co...

Background: Traumatic brain injury (TBI) is a common problem caused by multiple traumas. The TBI patients are clinically evaluated with Glasgow Coma Scale (GCS) as well as imaging methods including computed tomography (CT) scan and magnetic resonance imaging (MRI). According to the GCS scores, patient are divided into three groups: mild (13-15), moderate (9-12) and severe (3-8). This study aims...

Twenty one patients were submitted to decompressive craniectomy for massive cerebral infarct. Ten patients (47.6%) presented a good outcome at the 6 months evaluation, eight had a poor outcome (38%) and three died (14.2%). There was no outcome statistical difference between surgery before and after 24 hours of ictus, dominant and non-dominant stroke groups. Patients older than 60 years and thos...

Traumatic brain injury(TBI) occurs when an external force traumatically injures the brain. TBI is a leading cause of death and disability. A complex pathophysiological cascade of cellular events is involved in it. Experimental models have shown that TBI results in a significant increase in glucose utilization following injury. Hyperglycemia aggravates underlying brain damage by causing free rad...

BACKGROUND In this study we analyzed whether demographic, clinical and neuroradiological parameters are associated with time to hospital admission in patients with spontaneous intracerebral hemorrhage (ICH). We a priori hypothesized that the earlier a patient was admitted to hospital, the worse the clinical status would be. METHODS Demographic, clinical and neuroradiological parameters of con...