OBJECTIVE To systematically review which determinants, assessed within the first month after a moderate to severe traumatic brain injury, predict 6-month functional outcome. METHODS Databases were searched for relevant publications between 1995 and August 2008. Selection criteria were: prospective cohort studies; determinants associated with functional outcome 6 months after moderate to sever...

Spinal cord compression due to extradural and subdural haemorrhage is a neurosurgical emergency. Differences in clinical presentation in relation to localisation of the haematoma, value of MRI as a diagnostic tool, surgical treatment, and prognosis were investigated in a retrospective case series of eight patients with extradural (n = four) and subdural (n = four) haematomas. Results of MRI wer...

Procollagen propeptides increase in the CSF after subarachnoid haemorrhage, reflecting increased collagen synthesis in the arachnoid. We studied the induction of dural collagen synthesis after cerebral trauma by measuring the carboxyterminal propeptide of type I procollagen (PICP) and the aminoterminal propeptide of type III procollagen (PIIINP) in 17 subdural haematoma or effusion fluid sample...

BACKGROUND Lactococcus garvieae is a rare cause of infective endocarditis (IE) in humans and the bacterium can easily be misidentified. Intracranial haemorrhage often occurs in conjunction with IE, but subdural haemorrhage (SDH) is very rarely encountered. CASE PRESENTATION The patient was an 81-year-old male with a history of cardiovascular disease and a prosthetic biologic aortic valve. He ...

Paediatric trauma is common emergency in emergency departments of hospitals worldwide. One of the uniqueness is the trauma sustained mostly in household areas and even the mode of injury is often subtle. Paediatric head injury is the one of the common reasons for children visiting the emergency department. Expert management and gentle care is an essential requirement in paediatric head injury c...

Nagele EP, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222918 Description A 27-year-old woman with a history of pulmonary embolism presented with confusion and depressed arousal after a night of alcohol and drug use. On examination, she was found to have lack of motivation and right leg weakness but had no other significant neurological findings. Trauma survey did not detect any signs of inj...

WHEN one considers the various types of intracranial lesion produced by trauma to the head-extradural haemorrhage, subdural hemorrhage, cortical laceration, haemorrhage into brain substance or ventricles-there is one type of injury which of recent years has excited much speculation as to the mechanism of its causation, namely, " contre-coup injury." It has long been observed in persons who have...

Physical features Physical features include any serious or unusual injury with an absent or unsuitable explanation, and particularly in the following categories: abrasions, bites, bruises, burns, cold injuries, cuts, lacerations, ligature marks, petechiae, scalds, scars, and strangulation marks. They also include various sites of internal injury including fractures, spinal and intracranial inju...