Brain Lesions Detected by CT Scans in Cases of Minor Head Injuries
スポンサーリンク
概要
- 論文の詳細を見る
Since CT scans make it possible to demonstrate precise morphological and anatomicopathological findings, small brain lesions are frequently found on CT scans, in spite of the short duration of unconsciousness after head trauma. Thirty six out of approximately 500 cases which received CT examinations within two weeks after head injury were selected and analyzed. In these cases, almost all high or low density lesions were detected in the tip and/or base of the frontal and/or temporal lobes adjacent to the skull. Causes of the injury were traffic accidents (33.3%), falls on the floor or road (33.3%), and falls down stairs, out of beds, etc. (25.5%). Clinical manifestations before CT examinations were heaviness in the head or headache (36.0%), and nausea and vomiting (33.3%), but thirteen out of 36 patients had no symptoms or complaints. None of the 36 patients showed any neurological dysfunctions suggesting focal damages. Fourteen of the above-mentioned 36 patients (38.9%) had skull fractures and the remaining 22 (61.1%) did not, and there was no significant difference between the two. On the contrary, the incidence of skull fractures in cases in which CT scans were normal was 12.4% which was significantly different from the figure of 38.9% in patients with fractures and CT abnormalities. It is inferred that the deformation of the skull at the time of impact is one of the important factors in the development of brain contusions. To clarify the correlation between the duration of the initial unconsciousness and abnormal CT findings, 219 consecutive cases of head injuries underwent CT scans without considering their severity. Out of 171 patients who were conscious or lost consciousness in less than 10 minutes, 13 (7.6%) had small lesions in CT scans. Of 12 cases with a state of unconsciousness from 10 to 60 minutes in duration, three (25.0%) had abnormal CT findings. In all cases which were unconscious for more than 6 hours, brain lesions were detected by CT scans.
- 日本脳神経外科学会の論文
- 1981-07-15
著者
-
Sekino Hiroaki
Department Of Neurosurgery The Jikei University School Of Medicine
-
Sekino Hiroaki
Department Of Neurosurgery University Of Tokyo
-
Yuki Kenji
Department Of Neurosurgery The Jikei University School Of Medicine
-
Kikuchi Kunio
Department Of Health Science Faculty Of Integrated Arts And Sciences Hiroshima University
-
Kikuchi Kunio
Department Of Neurosurgery The Jikei University School Of Medicine
-
NAKAMURA Norio
Department of Metabolic Engineering, Institute of Natural Medicine, Toyama Medical and Pharmaceutica
-
Sekino Hiroaki
Department Of Neurological Surgery Central Hospital Of Japanese National Rialways
-
SATOH Jun
Department of Neurosurgery, The Jikei University School of Medicine
-
SANADA Shoichi
Department of Neurosurgery, The Jikei University School of Medicine
-
Nakamura Norio
Department Of Neurosurgery The Jikei University School Of Medicine
-
Sanada Shoichi
Department Of Neurosurgery The Jikei University School Of Medicine
-
Nakamura Norio
Department Of Biology Yokohama City University
-
Nakamura Norio
Department Of Anatomy Gunma University School Of Medicine
-
Satoh Jun
Department Of Material Chemistry Graduate School Of Engineering Kyoto University
関連論文
- Clinicopathological Study on Hepatitis C Virus-associated Glomerulonephritis without Hepatitis C Virus in the Blood
- A New Enzyme Immunoassay for Aconitine and Its Application to Quantitative Determination of Aconitine Levels in Plasma(Pharmacognosy)
- Three New Lignans, Longipedunins A-C, from Kadsura longipedunculata and Their Inhibitory Activity against HIV-1 Protease
- Conversion of aconitine lipoaconitine by human intestinal bacteria and their antinociceptive effects in mice
- B-13. Ultrastructure and Ultracytochemistry of the Experimental Epileptic Focus
- Fine Structure of Human Epileptogenic Foci : Preliminary report
- S-A-1. Essential 4 Steps for the Diagnosis of Severe Head Injuries
- 163. Mechanism and Dynamics of Closed Head Injuries (Preliminary Report)
- Mechanism and Dynamics of Closed Head Injuries (Preliminary Report)
- Experimental Head Injury & Concussion in Monkey Using Pure Linear Acceleration Impact
- S-II-13. Nomal Pressura Hydrocephalus : Analysis of 12 cases
- l-1. Mechanism and dynamics of closed head injuries
- New Triterpenoid Saponins from the Roots of Sinocrassula asclepiadea
- 10. Brain stem mechanisms of neck movements (Stimulation and destruction of the interstitial nucleus of cajil in man)
- 6. Neurophysiological considerations on the functions of the internal medullary lamina
- S-B-6. Effects of the Stimulation of the intramedullary Lamina and the Pulvinar in Man
- 15. Follow Up Studies on the Hypothalamotomy
- S-5. The Motor Responses to the Stimulation of the Rostral Human Brain Stem (Symposium:Human Depth Electrophysiology)
- 5. The Significance of the Non-Specific Thalamic Nucleus in pain (PROCEEDINGS OF THE Vth ANNUAL MEETING OF THE JAPAN SOCIETY FOR RESEARCH IN STEREOENCEPHALOTOMY)
- Brain Lesions Detected by CT Scans in Cases of Minor Head Injuries
- Withanolide Derivatives from the Roots of Withania somnifera and Their Neurite Outgrowth Activities
- Trigonelline-Induced Neurite Outgrowth in Human Neuroblastoma SK-N-SH Cells
- Chemical Characterization of the Callose Plug Isolated from Camellia japonica Pollen Tube
- Experimental Head Injury with Lateral Impact Using Monkeys (Preliminary Report) : Dynamic and Pathological Investigation
- Experimental Head Injury in Monkeys : Concussion and Its Tolerance Level
- S-E-6 S-E-6. Defense of Blood Brain-Barrier (Symposium E: Acute Head Injury)
- Effects of Upper Limb Exercise on Thermoregulatory Responses in Patients with Spinal Cord Injury
- Usefulness of a Simple Device to Measure Aural Canal Temperature
- Usefulness of a simple device to measure aural canal temperature
- Inhibition of Camellia japonica Pollen Tube Growth by Maltose
- Relief of Intractable Pain from Neurosurgical Point of View with Reference to Present Limits and Clinical Indications : A Review of 100 Consecutive Cases
- S-9. Posteromedical Hypothalamotomoy for Intractable Pain : Basic and Clinical Studies
- S-4. Sensory Neurons of the Hypothalamus and Thalamus
- Relationship between Heart Rate and Oxygen Uptake during Submaximal Arm Cranking in Paraplegics and Quardriplegics
- Localization of 47 kD Antigenic Polypeptides in Malaria Parasites by Confocal Laser Scanning Microscopy
- A-35. The Electrophysiological Properties of Brain Tumor Cells and Application to Diagnosis
- 12 12. Observations on Cerebellar Disorder after Blunt Head Injury
- 179. Irregular Alignment of the Posterior Margin of Cervical Vertebral Bodies in Cases of the Craniocervical Injury
- Relationship among Blood Lactate and Plasma Catecholamine Levels during Exercise in Acute Hypoxia
- Holocord Astrocytoma : Case Report
- Effect of Chronic Hypoxia on Oxidative Enzyme Activity in Rat Skeletal Muscle
- Arylcyanation of Norbornene and Norbornadiene Catalyzed by Nickel
- Hemicellulose of the pollen tube wall of Camellia japonica
- 36. On the Rheographical Study of the Cerebral Circulation
- 57 Neurogenic Bleeding and Ulceration in the Upper Alimentary Tract
- Mizoribine Suppresses Proliferation of Rat Glomerular Epithelial Cells in Culture and Inhibits Increase of Monocyte Chemoattractant Protein-1 and Macrophage Inflammatory Protein-2 Stimulated by Thrombin
- Kidney Transplantation at Hirosaki Kidney Transplant Unit-Initial 5-Year Experience
- Dyslipidemia after Kidney Transplantation; A Study at Hirosaki University Hospital [Innovation in Transplant and Regenerative Medicine. The 13th Meeting of Hirosaki International Forum of Medical Science. Communication Center of Hirosaki University School