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  • Chronic subdural haematoma  (2)
  • Cerebral infarct  (1)
  • Severe head injury  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 133 (1995), S. 56-59 
    ISSN: 0942-0940
    Keywords: Severe head injury ; GCS 3 ; prognosis ; change of survival
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors analysed a series of 111 adult patients admitted to the Department of Neurosurgery, Medical University of Łódź directly after trauma with initial GCS of 3 points. 74% of them had intracranial haematoma, mainly subdural, and were treated surgically within the first 3 hours after trauma. 8 patients had no abnormalities on CT scans. 99 (89%) patients died 2 to 30 days after injury, 8 (7%) survived in a vegetative state, and only in 4 (4%) was a satisfactory result noted, but 2 of them had a stable neurological deficit. 3 of these 4 patients had epidural haematomas and 1 had not abnormalities on repeated CT examinations. We conclude, that among patients with GCS of 3 on admission, only those without major CT abnormalities or with epidural haematoma have a chance of survival. Cases with cerebral leasions on the initial CT examination have an invariably bad prognosis. They could be taken into account as a potential organ donor from the very moment of admission, but only after cerebral circulatory arrest occured and brain death has been proved according to internationally accepted standarts.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Acta neurochirurgica 85 (1987), S. 44-45 
    ISSN: 0942-0940
    Keywords: Chronic subdural haematoma ; intracranial hypotension
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The authors present 8 cases of chronic subdural haematoma with a history of illness longer than 1 year. They appeared among 92 cases of chronic subdural haematoma treated in the Neurosurgical Department of the Medical Academy of Łódź. The course of the illness and the results of surgical treatment are presented. The authors think that intracranial hypotension can play an important role in predisposing to such cases of chronic subdural haematoma, which present with a long history.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1084
    Keywords: Magnetic resonance imaging ; Middle cerebral occlusion ; Brain oedema ; Cerebral infarct ; Rat
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The development of ischaemic brain oedema caused by middle cerebral artery (MCA) occlusion was studied by serial magnetic resonance imaging (MRI) in rats. Multiple spin echo sequences were used with TR = 1500 ms and TE = 30–240 ms (8 echos). Subtraction images were obtained by subtracting the last three echos from the first echo. Fourteen rats were studied 3, 6, and 12 h and 1, 1.5, 3, 4, 6, and 8 days after MCA occlusion, and 2 of them also 3 and 6 weeks later. Two T2 components could be separated, a fast one representing bound water and a slow one representing free bulk water. MR showed T2 prolongation even on the first examination, and the highest values were observed 24h after occlusion. The subsequent examinations showed a slow reduction in oedema. MR studies 3 and 6 weeks after occlusion revealed an area of very long T2, which correlated well with infarction shown by histology. The subtraction images demonstrated both the infarct location and the oedematous changes in the surrounding uninfarcted tissue. MRI imaging employing T2 components and subtraction images appears to be a valuable method for observing the time course of the development and resolution of oedema in cerebral infarction.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    European journal of pediatrics 148 (1989), S. 779-780 
    ISSN: 1432-1076
    Keywords: Spine ; Chronic subdural haematoma ; Minor trauma
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A case is reported of chronic encapsulated spinal subdural haematoma which developed in a 7-year-old girl after minor spinal trauma. Surgical removal of the lesion was followed by complete recovery.
    Type of Medium: Electronic Resource
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