Three patients with a persistent vegetative state after severe head injury are reported. They recovered from a prolonged disturbance of consciousness after the administration of levodopa. These patients all had parkinsonian features. On magnetic resonance imaging, the distribution of lesions implied a diffuse axonal injury involving the substantia nigra or ventral tegmental area. The existence ...

OBJECTIVE Head injury is a leading cause of death and disability in subjects who suffer a traumatic accident. Contralateral hematomas after surgery for traumatic brain injury are rare. However, an unrecognized, these hematomas can cause devastating results. We presented our experience of these patients and discussed diagnosis and management. METHODS This study included 12 traumatic patients w...

background: the global status report of the world health organization (who) on road safety suggested that india is leading in road traffi c accidents in the world. according to the report on road accidents in india in 2010 by the transport research wing, ministry of road transport and highways, new delhi, kerala ranked third in accidents per lakh population and second in persons injured per lak...

OBJECTIVE To develop a behavioural assessment based on observations of patients recovering after severe head injury whereby data could be collected by observation and by testing everyday tasks. DESIGN A prospective observational study of a cohort of 88 consecutive hospital admissions with severe head injury. SETTING Two district general hospitals in the UK. PATIENTS Eighty-eight consecuti...

BACKGROUND Singapore has a mandatory helmet law for motorcyclists. This study aimed to determine the injuries sustained by helmeted motorcyclists presenting to the emergency Department (ED). METHODS Adult victims of motor vehicular incidents (MVI) who presented to an urban public hospital ED from 1 December 1998 to 31 May 1999 were interviewed. Chart reviews were done for those hospitalised. ...

BACKGROUND Severe and moderate head injury can cause misdiagnosis of a spinal cord injury, leading to devastating long-term consequences. The objective of this study is to identify risk factors involving spine trauma and moderate-to-severe brain injury. METHODS A prospective study involving 1617 patients admitted in the emergency unit was carried out. Of these patients, 180 with moderate or s...

HAMORRHAGIC lesions of the brain stem are not infrequently found in fatal cases of accidental head injury. Duret (1878, 1919) emphasized their importance, and showed that they are easily produced in experimental animals. Bemer (1930) and Courville (1945) also considered them to be an important cause of death, and it is clear that only a very few patients who recover from a head injury are found...

Reports of low mortality rate for severely head-injured children have led to the myth that children have a better outcome than adults after severe head injury. This was examined in the present study by comparing the outcome of 4,041 severely head-injured children with 14,789 adults from five Level I trauma centers in the Pennsylvania Trauma Systems Foundation from 1986 to 1996. Severe head inju...

BACKGROUND Traumatic Brain Injury (TBI) is the leading cause of death in all age group. The incidence of CSI increases with the severity of TBI so prompt care of cervical spine is necessary in all patients with moderate to severe head injury. The objective of this study was to determine the frequency of cervical injury in patients with moderate to severe head injury and different types of traum...

INTRODUCTION Some studies have demonstrated an increased risk of death for patients admitted at nights or during weekends. This study was undertaken to investigate the demographic profile, medical interventions and outcome of severe head injury patients stratified according to day and time of admission to a specialised neurosciences intensive care unit (NICU). MATERIALS AND METHODS A retrospe...