Overview

Posttraumatic cerebral contusions, lacerations and hematomas in the past could often only be suspected by clinical symptomatology and be visualized by angiography in a restricted manner, but they are now diag- nosed with precision through CT and MRI; they remain in the limelight in our daily management of severe head injuries. Stalhammar's longlasting research in biomechanics is he re condensed in a concise review of the current knowledge in this field, thus providing the basis for our understanding of the parenchymal cerebral posttraumatic lesions. The neuropathological investigations and findings remain fundamental to the clinical features, and in this text there is the advantage that they were carried out and interpreted by a very experienced neurasurgeon, Ion Oprescu, who most regretfully died before the completion of this volume. The special morphological and clinical investigations by Nakamura, concerning diffuse brain injury, contribute to our necessary diagnosis and treatment of this phenomenon where, without grass visible lesions of cerebral tissue, a high mortality occurs. The clinical features, the princip1es of therapy and the outcome are described by Vigouroux and Guillermain, whose clinical study clearly demonstrates the limitations of all our efforts in severe brain injuries, in spite of decades of clinical experience and research.

Full Product Details

Author:   P. Harris ,  G. Belanger ,  R.A. Frowein ,  R. Firsching
Publisher:   Springer Verlag GmbH
Imprint:   Springer Verlag GmbH
Edition:   Softcover reprint of the original 1st ed. 1991
Volume:   3
Dimensions:   Width: 17.00cm , Height: 1.50cm , Length: 24.40cm
Weight:   0.488kg
ISBN:  

9783709174357

ISBN 10:   370917435
Pages:   259
Publication Date:   16 September 2011
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   In Print  
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Table of Contents

Biomechanics of Brain Injuries.- Basic Injury Mechanics.- Specific Brain Injury Mechanisms.- Primary Injuries.- Aspects of Injury Reduction.- References.- Cerebral Hemispheric Contusions and Lacerations.- Contusions.- Lacerations.- Late Lesionai Effects of Brain Lacerations.- Summary.- References.- Diffuse Brain Injury and Brainstem Dysfunction.- Experimental Confirmation of Diffuse Brain Injury.- Types of Diffuse Brain Injury.- Clinical Aspects of Diffuse Brain Injury.- Diagnostic Criteria.- Primary Brainstem Injury.- References.- Cerebral Contusions and Lacerations. A Clinical Study.- Symptomatology.- Clinical Synthesis.- References.- Traumatic Brain Swelling and Brain Edema.- Diagnosis and Pathogenesis.- Frequency and Temporal Development.- Intracranial Pressure.- Management.- Outcome.- References.- Posttraumatic Intracerebral Hematomas.- Definition.- Incidence.- Etiology and Pathogenetic Mechanism.- Biomechanics.- Location.- Clinical Manifestations.- Localizing Signs.- Differential Diagnosis.- Intracerebral Hematomas Concerning Their Appearance in Time.- Intracerebral Bleeding in Children.- Paraclinical Investigations.- Treatment.- How to Do It.- References.- Posttraumatic Cerebellar Contusions and Hematomas.- Cerebellar Contusions.- Posterior Fossa Hematomas.- Depressed Fractures.- How to Do It.- References.- Early Dynamic Evolution of Cerebral Contusions and Lacerations. Clinical and Radiological Findings.- Definition.- Radiological Findings.- Correlation of Clinical Manifestation and CT-findings.- Enlargement of Contusions on Repeat Scan.- Dynamics of Cerebral Contusions.- Intracerebral Hematoma.- Treatment.- Prognosis.- Summary.- References.- Evoked Potentials in Head Injury.- Anatomical and Neurophysiological Considerations.- Somatosensory Evoked Potentials.- Visual Evoked Response.- Auditory Evoked Responses.- Prognostic Value of Evoked Potentials in Severe Head Injury.- Auditory Evoked Responses in Non-severe Head Injury.- Brain Death.- Reliability of Evoked Potentials.- How to Do It.- References.

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