over half of all reported traumatic brain injuries are the result of a motor vehicle accident. other then the direct head impact itself, the sheer forces of the accident can cause the brain also to collide against the internal bone of the skull. in fact, when a moving head comes to a quick stop, the brain continues in its movement, striking the interior of the skull. this can cause bruising of ...

OBJECTIVES To describe outcome after treatment of severe head injury within an integrated trauma system. METHODS A retrospective analysis of all patients with severe head injury admitted to the Royal London Hospital by the Helicopter Emergency Medical Service (HEMS) between 1991 and 1994. Type of injury was defined on initial computed tomography of the head and outcomes assessed 12 months aft...

Eighty-two patients with severe head injury were tested on the Wechsler Memory Scale and compared with 34 normal subjects. Head injured patients had severe memory difficulties, particularly on Logical Memory and Associate Learning. Severity of head injury (post-traumatic amnesia duration) was related to poor memory, as was increasing age, but both persisting neurological signs, including dyspha...

Female relatives of defined groups of consecutive male minor and severe head injury victims were seen at home 3 months after the injury. The relatives of the severely injured suffered significant psychiatric morbidity compared to the minor head injury relatives. They also showed poorer functioning in social roles associated with the home. There was no difference in the vulnerability of either w...

OBJECTIVES To determine the threshold values of Pediatric Index of Mortality 2 (PIM 2) score, Pediatric Trauma Score (PTS), and Glasgow Coma Scale (GCS) score for mortality in children after severe head injury and to evaluate changes in outcomes of children after severe head injury on discharge and after 6 months. MATERIAL AND METHODS All children with severe head injury admitted to the Pedia...

background and aim: traumatic subdural hygroma is the accumulation of csf (cerebrospinal fluid) in subdural space following head trauma. the mass effect of hygroma on brain can impinge on consciousness. there are still many ambiguities on indications of hygroma surgery. this is an 11-year follow-up study which involves the patients suffering traumatic subdural hygroma who underwent surgery. met...

a case of a transcranial stab wound is presented in which the patient was stabbed in the left temporal bone with a knife which, after traversing the tentorium, passed through the occipital squama and its tip reached the upper cervical area. the subject underwent surgery and was discharged without neurological sequelae. the fundamental principles of management in this specific type of head injur...

background: brainstem hemorrhage was first described by cheyne in 1812 in a pathological study of patients presenting with lethargy and coma. in 1877 bode reviewed the findings of 67 patients reported in the literature (1). in the united states, the incidence of closed head injury is estimated to be approximately 200 cases per 100,000 persons per year. the financial burden of head injuries in t...