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  • 1
    Electronic Resource
    Electronic Resource
    CT analysis of missile head injury (1995)
    Springer
    Neuroradiology 37 (1995), S. 207-211 
    Details
    ISSN: 1432-1920
    Keywords: Computed tomography ; Head injury ; Gunshot wound ; Missile wound ; Retained bone
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Between August 1991 and December 1992, CT was performed on 154 patients who had suffered missile head injury during the war in the Republic of Croatia. In 54% CT was performed 1–24 h after injury, and in 27% follow-up CT was also obtained. The wounds were penetrating, tangential or perforating (45%, 34% and 21%, respectively). Haemorrhage was the most frequent lesion in the brain (84%). Follow-up CT evolution of haemorrhage, oedema, cerebritis, abscess, secondary vascular lesions, necrosis, encephalomalacia and hydrocephalus. The most dynamic changes occurred 7–14 days after injury. In 14% of cases, deep cerebral lesions were found in the corpus callosum, septum pellucidum periventricular region and pons, although bone and shell fragments were in a different part of the brain parenchyma. Such lesions were found in penetrating injuries only. CT proved very useful for assessing the extent and type of lesions. Although different mechanisms of brain damage in missile head injury are known, here they are, to the best of our knowledge, shown for the first time by CT.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01578259
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 2
    Electronic Resource
    Electronic Resource
    CT analysis of missile head injury (1995)
    Springer
    Neuroradiology 37 (1995), S. 207-211 
    Details
    ISSN: 1432-1920
    Keywords: Key words Computed tomography ; Head injury ; Gunshot wound ; Missile wound ; Retained bone
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Between August 1991 and December 1992, CT was performed on 154 patients who had suffered missile head injury during the war in the Republic of Croatia. In 54 % CT was performed 1–24 h after injury, and in 27 % follow-up CT was also obtained. The wounds were penetrating, tangential or perforating (45 %, 34 % and 21 %, respectively). Haemorrhage was the most frequent lesion in the brain (84 %). Follow-up CT evolution of haemorrhage, oedema, cerebritis, abscess, secondary vascular lesions, necrosis, encephalomalacia and hydrocephalus. The most dynamic changes occurred 7–14 days after injury. In 14 % of cases, deep cerebral lesions were found in the corpus callosum, septum pellucidum periventricular region and pons, although bone and shell fragments were in a different part of the brain parenchyma. Such lesions were found in penetrating injuries only. CT proved very useful for assessing the extent and type of lesions. Although different mechanisms of brain damage in missile head injury are known, here they are, to the best of our knowledge, shown for the first time by CT.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01578259
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    Spinous process-plasty following lumbar laminectomy as a contributing factor to spine stability (1996)
    Springer
    Archives of orthopaedic and trauma surgery 115 (1996), S. 211-215 
    Details
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 10-year retrospective study of 41 consecutive patients who underwent “spinous process-plasty” is presented. We carried out laminectomy of the lumbar spine in cases of spinal stenosis, dorsomedial herniated disc and recurrent disc herniation with firm scars (traumatic and tumour cases are not included). To forestall the development of laminectomy's negative effects on spine stability, we initiated the spinous processes' reconstruction. Two groups of patients who underwent laminectomy form the basis of this presentation, one group with “spinous process-plasty” (41 patients) and the other (11 patients) without it. On postoperative neutral and dynamic X-ray films we paid attention to horizontal displacements larger than 3 mm and to negative intervertebral angular displacement. Considering such criteria, only 3.8% of those with “spinous process-plasty” developed a radiographic instability in contrast to 25% of patients without “spinous process-plasty”. These results support the use of this technique, which provides postlaminectomy lumbar spine stability.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00434556
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Computed tomography of the spine as an important diagnostic tool in the management of war missile spinal trauma (1998)
    Springer
    Archives of orthopaedic and trauma surgery 117 (1998), S. 360-363 
    Details
    ISSN: 1434-3916
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Twenty-two patients with spinal injury were evaluated by plain radiography immediately after hospital admission. In 14 patients whose condition was stable, we performed computed tomography (CT) scanning through the involved segments. To provide better planning before neurosurgical management, we divided the vertebral column in thirds. According to this division, we concluded that these injuries are mostly extensive, severely damaging all three thirds of the vertebral column and accompanying neural structures in the majority of cases. The information acquired by CT concerning bony fragments, bone destruction, dural tear, spinal cord and nerve root compression, and neural damage directly influenced the surgical management. All patients except one underwent surgery while associated injuries of other organs were given priority in management. Injuries of the thoracic and the lumbar spine were the most common ones, frequently found in association with lesions of nearby organs. Penetrating injuries with a dural lesion were present in the majority of cases, while spinal cord injury was obvious in some. They were all well visualized using spinal CT scanning. Our view is that the role of CT is essential in guiding surgical management of war missile injuries to the spine.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s004020050266
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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