Articles: brain-injuries.
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Neurol Neurochir Pol · Jan 1992
Case Reports[Cranial bone prosthesis made of acrylic resins and prepared before surgical operation--description of the method].
The authors present a method of cranioplasty using super-acrylate type "O". Two approaches are used to this problem--copying of the own bone of the patient and use of an appropriate prosthesis made of plastic material used in maxillofacial surgery. The obtained results were favourable with respect to cosmetic effect and clinical outcome.
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Rev Stomatol Chir Maxillofac · Jan 1992
Case ReportsInadvertent intracranial placement of a Foley catheter. A rare iatrogenic complication of severe frontomaxillary trauma.
Severe comminuted fractures of the facial bones involving the cranial base are often accompanied by heavy bleeding into the nasopharynx. This presents considerable problems in primary care both for the anesthesiologist and the surgeon. ⋯ Skull base fractures may involve the risk of the catheter inadvertently penetrating into the brain. The authors describe a case in which a misguided Foley catheter, which was blindly inserted through the nose in an attempt to tampon the nasopharynx, resulted in fatal cerebral damage.
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One aim of the intracranial pressure measurement is observing constantly patients with intracranial space-occupying factors and therefore to act diagnosticly and therapeutically correct at the right time. Through the continual registration of the intracranial pressure amplitude in relation to the medium intracranial pressure it is earlier possible to forecast intracranial pressure rise and to deal with this than with just the simple measurements of medium intracranial pressure. With 40 neurosurgical patients such examinations were undertaken after implantation of a ventricle catheter. The value of this method was proven during the continual observation of the patient.
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Editorial Comparative Study
Value of MRI in head injury. Comparison with CT.
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The pathophysiology and clinical management of acute brain injury in infancy and childhood are presented using acute traumatic brain injury as a model. The principles of stabilization, transport, and intensive care management are critically reviewed.