Articles: brain-injuries.
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Zh Vopr Neirokhir Im N N Burdenko · May 1987
[Prediction of the outcome of craniocerebral injuries in the acute period].
Unified clinical findings in 302 patients were analysed to prognosticate the outcomes of severe craniocerebral trauma in the acute phase. The patients condition in the acute stage was evaluated in points according to four types of outcome: fatal, with coarse and moderate neurological disorders, and with a satisfactory compensation of the condition. In a condition rated 20-30 points the probability of a favourable or a fatal outcome was equal. In a condition rated less than 20 points the probability of a fatal outcome increases, in one-rated above 30 points the probability of a favourable outcome grew.
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Zh Vopr Neirokhir Im N N Burdenko · May 1987
[Principles for making the diagnosis of craniocerebral injury].
The structure of the diagnosis of craniocerebral trauma in the acute period was elaborated in conformity with its common clinical classification. The authors substantiate the necessity for supplementing the general nosological characteristics of the injuries to the skull and brain with a specification of all anatomical and principal functional components of the trauma, which are listed in order of their importance for the therapeutic policy and the outcomes.
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The clinical and computed tomographic findings in 22 civilian cases of craniocerebral gunshot injury are reported. Fifteen out of the 19 male cases were suicidal attempts; the 3 women were shot by their husbands. In 2 cases the injuries resulted from use of a slaughterer's gun. ⋯ CT findings such as bihemispheric injury and detection of intraventricular blood or air were associated with a poor outcome. Surgical intervention appears to be justified only in patients with extensive subdural or epidural hematoma. The mortality rate in this study was 45%.