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2.1
Brain Laceration
Laceration of Brain

Presentation

Lacerations were present in various regions, with frontal lobes predominating. [ajnr.org]

No form of radiological imaging was requested at presentation. Consequently, a serious intracranial injury was missed. [casereports.bmj.com]

Twenty per cent of the patients presented a lucid interval, thus confirming the nature of the laceration as a true expanding lesion, increasing in size in the post-traumatic period. [pubmed.ncbi.nlm.nih.gov]

You may request that a family member or other person be present during the assessment. [maine.gov]

Entire Body System

  • Epilepsy

    About Section 20 Services The goal of the Section 20 Waiver Program is to provide a comprehensive array of services to adults with Cerebral Palsy, Epilepsy, and Other Related Conditions. [maine.gov]

    & Seizures, Neurology, Critical Care Medicine Richard Mattson MD Neurology, Epilepsy & Seizures Emily J. [yalemedicine.org]

    Laceration of cerebrum with no loss of consciousness ICD-10-CM S06.330A is grouped within Diagnostic Related Group(s) (MS-DRG v40.0): 023 Craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy [icd10data.com]

    Epilepsy in head trauma Epilepsy may be a sequela of head injury. [dartmouth.edu]

    […] sinuses or auditory canal l Signs: Racoon’s eyes, Battle’s sign, otorrhea, rhinorrhea l post-traumatic amnesia (PTA) or milder memory difficulties l focal losses (e.g cognitive, personality, motor etc.) l meningitis if head was opened l post-traumatic epilepsy [uni.edu]

  • Fever

    Fever is treated. If seizures occur, anticonvulsants are given. To measure pressure in the brain, doctors may implant a pressure gauge inside the skull or insert a catheter into one of the internal spaces (ventricles) within the brain. [merckmanuals.com]

    She has not had fever, chills, vomiting, nausea, weight loss, or change in bowel movements. She takes no medications. Her temperature is 37°C (98.6°F), pulse is 68/min, respirations are 16/min, and blood pressure is 110/70 mm Hg. [usmleforum.com]

    Signs of infection include severe pain, draining pus, redness beyond the wound edges, fevers and chills, or excessive wound swelling. If you think you have an infection, you should seek prompt medical care. Scarring is also a major concern. [torklaw.com]

    Pyrexia may be due to hypothalamic damage or traumatic subarachnoid haemorrhage, but infection as a cause of the fever must be excluded. [surgwiki.com]

    Poisoning-tetanus Vaccin 978.5 Pois-diphtheria Vaccine 978.6 Pois-pertussis Vaccine 978.8 Pois-bact Vaccin Nec/nos 978.9 Pois-mix Bacter Vaccines 979.0 Poison-smallpox Vaccine 979.1 Poison-rabies Vaccine 979.2 Poison-typhus Vaccine 979.3 Pois-yellow Fever [tdrdata.com]

  • Soft Tissue Swelling

    Evidence of impact, such as calvarial fracture or extra-calvarial soft-tissue swelling, was not always present in the cases with lacerations. [ajnr.org]

Neurologic

  • Seizure

    Neurology, Critical Care Medicine Richard Mattson MD Neurology, Epilepsy & Seizures Emily J. [yalemedicine.org]

    seizures will be recurrent. [dartmouth.edu]

    Since then, Wells said, her son has had brain surgery and multiple seizures. The full catalogue of his injuries includes brain damage, lacerations on his liver and blood behind his retinas, according to Wells. [wcpo.com]

    People with a moderate or severe TBI may have those, plus other symptoms: A headache that gets worse or does not go away Repeated vomiting or nausea Convulsions or seizures Inability to awaken from sleep Slurred speech Weakness or numbness in the arms [icdlist.com]

    Any seizure since the injury. Irritability or altered behaviour, particularly in infants and young children. [patient.info]

  • Headache

    It can cause a headache or neck pain, nausea, ringing in the ears, dizziness, and tiredness. [icdlist.com]

    One month later she re-presented with diplopia and headaches. She also complained of mild expressive dysphasia and irritability. Examination of her ocular motility revealed a pattern consistent with an acquired Brown’s syndrome. [casereports.bmj.com]

  • Stroke

    Overall, 43% of procedures in the study were in native valves and the rest were in bioprosthetic valves, 80% of the patients were female, and 23% had a prior stroke. [tctmd.com]

    NIH: National Institute of Neurological Disorders and Stroke Brain injury - discharge Chronic subdural hematoma EEG Extradural hemorrhage Facts about Concussion and Brain Injury (Centers for Disease Control and Prevention) Head injury - first aid Intracranial [icdlist.com]

    Organizations Doctors Department Location Other Male Female Accepting New Patients Stories General Information Patient Age Child Adolescent Adult Older Adult Refine Results Sort By: Doctors Kevin Gobeske MPH, PhD, MD Brain Injury, Neurocritical Care, Stroke [yalemedicine.org]

    Closed injuries are not open to the elements, and are more commonly the result of falls, blows, and medical catastrophes such as strokes. [spinalcord.com]

  • Altered Mental Status

    mental status, focal neurology, signs of skull fractures or evidence of clinical deterioration 8. skull fracture may be associated with tearing of the underlying meninges and extra-axial hemorrhage anterior cranial fossa fractures are often associated [radiopaedia.org]

    Initial symptoms may include a change in mental status, meaning an alteration in the wakefulness of the patient. There may be loss of consciousness, lethargy, and confusion. [medicinenet.com]

    Therefore, basic guidelines as to when to seek medical care can include the following: Altered mental status. The child is not acting or behaving normally for that child. [emedicinehealth.com]

  • Focal Neurological Deficit

    There is focal neurological deficit. There is paraesthesia in the extremities. Any other clinical suspicion of cervical spine injury exists. [patient.info]

    Survivors from severe TBI may have seizures, focal neurologic deficits, dementia, or the persistent vegetative state. Trauma is a risk factor for Alzheimer's disease. [neuropathology-web.org]

Treatment

NASA/ADS Abstract Objective To explore and compare the clinical efficacy of surgical treatment of cerebral contusion and laceration and conservative treatment. [ui.adsabs.harvard.edu]

It’s important to know the signs and symptoms of lacerations so you can seek proper treatment and find an attorney to help you recover monetary damages. [mottleylawfirm.com]

Unfortunately, the dramatic rise in the occurrence of brain injuries over the same time period demands better proficiency in evaluation and treatment. [books.google.com]

Fetal Laceration Treatment in General Treatment of fetal lacerations is mainly dependent on how deep the laceration is in addition to the consideration of any additional medical condition that may develop as a result of the laceration. [cerebralpalsysymptoms.com]

Published Online: 07 June 2019 AIP Conference Proceedings 2110, 020062 (2019); https://doi.org/10.1063/1.5110856 Objective To explore and compare the clinical efficacy of surgical treatment of cerebral contusion and laceration and conservative treatment [aip.scitation.org]

Prognosis

PMID: 17465359 Prevalence and prognosis of traumatic intraventricular hemorrhage in patients with blunt head trauma. [pubmed.ncbi.nlm.nih.gov]

(November 2018) Prognosis[edit] A cerebral laceration with large amounts of blood apparent on a CT scan is an indicator of poor prognosis.[2] The progression and course of complications (health effects that result from but are distinct from the injury [en.wikipedia.org]

BACKGROUND AND PURPOSE: Accurate differentiation of abusive head trauma and accidental head injury in infants and young children is critical and impacts clinical care, patient prognosis, forensic investigations, and medicolegal proceedings. [ncbi.nlm.nih.gov]

Etiology

For specific brain diseases see under headings relating to etiology and lesion. brain abscess common signs caused by an abscess in the brain are circling, rotation of the head, abnormal reflexes in one eye. [medical-dictionary.thefreedictionary.com]

Epidemiology

It discusses the neuroanatomical and neuroimaging bases of cognitive domains of the brain and includes findings on the epidemiology and pathophysiology of brain injury, as well as acquired psychopathology following injury. [books.google.com]

The epidemiology of head injury: a prospective study of an entire community — San Diego County, California, 1978. Am J Epidemiol 1981;113:500-9. Cooper KD, Tabaddor K, Hauser WA, et al. The epidemiology of head injury in the Bronx. [cdc.gov]

Epidemiological Study in Head Injury Patients. Turkish Journal of Trauma and Emergency Surgery, 15(2), 159-163. [ Links ] Karasu, A., Civelek, E., Aras, Y., Sabanci, P.A., Cansever, T., Yanar, H., et al. (2010). [scielo.org.co]

Epidemiology Hospital Episode Statistics data for the 2012-2013 annual dataset indicate that there were 171,600 admissions to hospitals in England with a primary diagnosis of head injury. [ 3 ] 70% are males. 33-50% are children under 15 years of age. [patient.info]

The demographic and clinical details of trauma patients are submitted to these registries primarily to provide data that will improve clinical outcome for trauma patients but they also form a valuable dataset for epidemiological studies. [bmcmedresmethodol.biomedcentral.com]

Pathophysiology

It discusses the neuroanatomical and neuroimaging bases of cognitive domains of the brain and includes findings on the epidemiology and pathophysiology of brain injury, as well as acquired psychopathology following injury. [books.google.com]

Pathophysiology of head injury Most head injuries result from blunt trauma, as distinct from a penetrating wound of the skull and brain caused by missiles or sharp objects. [surgwiki.com]

The underlying pathophysiology of concussion appears to be a shearing effect. [dartmouth.edu]

Prevention

Preface Prepared by Division of Acute Care, Rehabilitation Research, and Disability Prevention National Center for Injury Prevention and Control Centers for Disease Control and Prevention U.S. [cdc.gov]

Prevention of Fetal Lacerations There is ongoing in-depth research in ways to prevent fetal lacerations. Although research continues, a device called CSafe, has proven to an effective way to help prevent fetal lacerations. [birthinjuryguide.org]

An increase of intracranial pressure not only damages tissue, but it also prevents adequate oxygen and blood flow through the brain. Without blood and oxygen, the brain dies. [allabouttbi.com]

NIH: National Institute of Neurological Disorders and Stroke Brain injury - discharge Chronic subdural hematoma EEG Extradural hemorrhage Facts about Concussion and Brain Injury (Centers for Disease Control and Prevention) Head injury - first aid Intracranial [icdlist.com]

Prevention With lacerations and any skin wound in general, the best means of prevention is to use the right equipment, wear the proper clothing and exercise strong judgment and reason when in situations that could be detrimental to your health or physical [injuryinformation.com]

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