Articles: brain-injuries.
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The Glasgow Coma Scale is probably the most common grading scale in neurotraumatology all over the world. Its validity concerning severity and prognosis of the injury has been established in the Anglo-American literature. Data derived from the German rescue system, however is different from the Anglo-American in some respects. ⋯ Especially for the best Glasgow Coma Score during the day after the injury, GCS 4 had a poorer collective long-term prognosis than GCS 3. Therefore, German data from head injury studies based on the Glasgow Coma Scoring are difficult to compare to those cited in the Anglo-American literature. Any statistical analysis of a so called "ranking scale" which does not satisfy its own claims under special conditions is difficult.
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Acta neurochirurgica · Jan 1995
CT and clinical criteria for conservative treatment of supratentorial traumatic intracerebral haematomas.
In search of guidelines for the management of traumatic intracerebral haematomas (TICHs) with slight mass effects on computed tomography (CT) scans, the author reviewed the records of 29 patients who did not undergo surgery and 11 patients who did. It is found that patients with a TICH volume of less than 15 ml, a midline shift of less than 5 mm, an open perimesencephalic cistern on CT scans, a Glasgow Coma Scale (GCS) score of 12 or more, and an absence of lateralizing signs may be treated conservatively and expected to make a good recovery. On the other hand, with zero mortality and satisfactory outcomes, the patients under-going early surgery tended to have a TICH volume of more than 15 ml, a midline shift of more than 5 mm, an obliterated perimesencephalic cistern on CT scans, a GCS score of less than 12, and the presence of lateralizing signs. However, the position of such features as the criteria of early operation for a TICH is weakened by the retrospective nature of this study because some surgical patients, free of lateralizing signs in particular, might have managed to do well without craniotomy.
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Zh Nevrol Psikhiatr · Jan 1995
[The characteristics of a psycho-autonomic syndrome in the sequelae of closed craniocerebral trauma].
Some clinical characteristics of posttraumatic psychovegetative syndrome, associated with nonspecific brain systems disfunctions were defined more precisely on the basis of the clinical estimation of vegetative, psychological as well as polygraphic indexes of sleep-awakening cycle in 205 patients with the consequences of closed craniocerebral trauma (CCT). It was mentioned that the characteristics features of such psychovegetative syndrome turned out to be: in vegetative sphere the clear parasympathetic displacement of main cardiovascular characteristics. ⋯ The discussion of results obtained was performed. The psychovegetative pattern revealed was worthwhile in different diagnosis of CCT with diseases of other etiology as well as both elaboration and improvement of rehabilitation system of patients with CCT consiquences.