AJR. American journal of roentgenology
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AJR Am J Roentgenol · Apr 1980
Case ReportsStomach rupture associated with esophageal atresia, tracheoesophageal fistula, and ventilatory assistance.
When infants with tracheoesophageal fistula require ventilatory assistance, gastric distention may ultimately result in perforation and pneumoperitoneum. This report describes four neonates with esophageal atresia and tracheoesophageal fistula who experienced such a complication.
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Cranial computed tomography (CT) scans of 1,600 head trauma patients, 67 of which demonstrated evidence of brainstem injury, were reviewed. CT diagnosis of brainstem injury was based on direct and indirect evidence. ⋯ Indirect signs are obliteration of the pontine, cerebellopontine angle, and perimesencephalic cisterns. Mortality and morbidity rates after brainstem injury are 2-3 times greater than for head trauma with descending transtentorial herniation, but without brainstem injury.
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AJR Am J Roentgenol · Apr 1980
Subarachnoid hemorrhage secondary to ruptured intracranial aneurysm: prognostic significance of cranial CT.
Computed tomographic (CT) findings in 50 patients with subarachnoid hemorrhage due to proven intracranial aneurysms were analyzed for prognostic significance in relation to the clinical grade and severity of vasospasm that developed preoperatively. Only patients who had CT within 4 days after the documented hemorrhage were included in the study. ⋯ The importance of abnormal contrast enhancement was also investigated and found to be of no significance. Scans soon after subarachnoid hemorrhage can assist in identifying patients at risk for preoperative neurologic deterioration.