The geometry of brain contusion: relationship between site of contusion and direction of injury.

Abstract:

:Up to a fifth of Accident and Emergency admissions are head-injury related. Alcohol is involved in a large proportion of adult head injuries and although the incidence of death due to head injury (HI) is relatively low, long-term sequelae including cognitive disturbance are frequent. Contrecoup contusions (CCs) have been observed commonly in closed head injuries and may be an independent factor in long-term neuro-disability. The mechanisms of their formation are still under debate. The aim of this study was to define the relationship between the direction of the blow to the head and the location of brain contusion after HI. The location of scalp injuries was used as a surrogate for the direction of the blow to the head. Between January 2007 and March 2009, 358 cases of HI were treated at the Newcastle Neurosurgery Unit. Of these, 129 had contusions. Of these, 100 scans were available. The site of scalp injury could be identified in 98 cases and these were used for the study. Sixty-six percent of scalp injuries were to the back of the head. Most contusions (77%) were contracoup affecting the frontal and temporal lobes. Sixty percent of the injuries were inflicted by a fall from a standing position striking the back of the head on a paved surface, most commonly in the context of assaults or fighting.

journal_name

Br J Neurosurg

authors

Ratnaike TE,Hastie H,Gregson B,Mitchell P

doi

10.3109/02688697.2010.548879

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

410-3

issue

3

eissn

0268-8697

issn

1360-046X

journal_volume

25

pub_type

杂志文章
  • A case report of an intra-optic recurrent craniopharyngioma.

    abstract::A 46-year old female patient presented with a left-sided superior temporal quadrantanopia due to a recurrent craniopharyngioma. The location of the recurrence was unusual. Imaging showed an enlarged left optic nerve, suggestive of a recurrent intra-optic craniopharyngioma. It was possible to remove the tumour without ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1760207

    authors: Banaama S,Temel Y

    更新日期:2020-05-12 00:00:00

  • Speech bubble: dysphasia secondary to spontaneous intraparenchymal pneumocephalus.

    abstract::Spontaneous pneumocephalus is exceptionally rare, with few published cases in the literature. We describe a patient presenting with dysphasia, right facial weakness, headache and confusion who was subsequently found to have pneumocephalus due to an encephalocoele herniating into a tegmen tympani defect. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2019.1643008

    authors: Mitra R,Kumaria A,Harrisson S,Cahill J

    更新日期:2020-12-01 00:00:00

  • Acute massive cerebellar infarction associated with craniocervical junction complex malformation: a case report and literature review.

    abstract::We report a case of acute massive cerebellar infarction associated with craniocervical junction (CVJ) complex malformation in a 21-year-old male. Timely surgical intervention prevented the deterioration of his neurological status. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2016.1267329

    authors: Wang WT,Liu JJ,Duan K,Bie X,Liu TJ,Hao DJ

    更新日期:2018-10-01 00:00:00

  • Spinal cord stimulation--a long-term evaluation in patients with chronic pain.

    abstract::Spinal cord stimulation (SCS) is an established treatment modality for chronic pain, angina pectoris, and peripheral vascular disease. This study evaluates experience with SCS over a 13-year period with emphasis on surgical complications, revisions and pain relief. It took the form of a retrospective study of medical/...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690120072496

    authors: Kay AD,McIntyre MD,Macrae WA,Varma TR

    更新日期:2001-08-01 00:00:00

  • The extent of brachial plexus injury: an important factor in spinal accessory nerve to suprascapular nerve transfer outcomes.

    abstract::Objective: The purpose of this study was to assess the association between extent of brachial plexus injury and shoulder abduction/external rotation outcomes after spinal accessory nerve (SAN) to suprascapular nerve (SSN) transfer.Methods: A systematic review of the literature was conducted according to PRISMA guideli...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2019.1639620

    authors: Rezzadeh K,Donnelly M,Vieira D,Daar D,Shah A,Hacquebord J

    更新日期:2020-10-01 00:00:00

  • Evaluation of the association between biochemical and immunohistochemical score of caspase-9 and TNFα, and the grading of lumbar disc herniation.

    abstract:OBJECTIVE:The aim of our study is to investigate the influence of caspase-9 and tumour necrosis factor alpha (TNFα) in the grade of lumbar disc herniation. We determined the strength of different predictors such as age, gender, disc grading, caspase-9 and TNFα. METHODS:We retrospectively reviewed 84 patients who had d...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1817314

    authors: Ozevren H,Cetin A,Baloglu M,Deveci E

    更新日期:2020-09-14 00:00:00

  • Excision of pituitary adenomas: randomized comparison of surgical modalities.

    abstract::The aim of this randomized prospective study was to compare the efficacy of endoscopic versus standard microsurgical excision of pituitary adenomas, and to evaluate the merits and demerits of each approach. Twenty patients with a pituitary adenoma were randomly divided into two groups comprising of 10 cases each. Ten ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/02688690701395447

    authors: Jain AK,Gupta AK,Pathak A,Bhansali A,Bapuraj JR

    更新日期:2007-08-01 00:00:00

  • Simple delineation of misery perfusion areas by superimposition of PET on PET images.

    abstract::Oxygen extraction fraction images were superimposed on cerebral blood flow images of positron emission tomography (PET) to depict the so-called misery perfusion area in two patients with moyamoya disease. The superimposed image following extra-intracranial bypass surgery was obtained in one case, which convincingly di...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688699844880

    authors: Katano H,Sugiyama N,Yamada K

    更新日期:1998-08-01 00:00:00

  • Platinum distribution in malignant glioma following intraoperative intravenous infusion of carboplatin.

    abstract::The objective of this paper was to determine the time course and extent of platinum uptake into human malignant glioma tissue. An intraoperative, intravenous infusion of carboplatin was given to nine patients (seven glioblastoma and two anaplastic glioma) undergoing tumour excision. Carboplatin dosage was calculated i...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688699943871

    authors: Whittle IR,Malcolm G,Jodrell DI,Reid M

    更新日期:1999-04-01 00:00:00

  • The role of neuroendoscopy in the management of brain tumours.

    abstract::Neuroendoscopy is increasingly used in the management of brain tumours and tumour related hydrocephalus and this study reviews the efficacy of neuroendoscopic interventions in this unit in patients with brain tumours. A series of 87 neuroendoscopic operations carried out in 77 patients with brain tumours over a 6-year...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/0268869021000030276

    authors: Macarthur DC,Buxton N,Punt J,Vloeberghs M,Robertson IJ

    更新日期:2002-10-01 00:00:00

  • Lumbar discal cyst as a cause of radiculopathy: case report.

    abstract::Lumbar discal cysts are rare entities causing radicular pain with unknown etiologies. We report a case of a 42-year-old man who developed radiculopathy secondary to a lumbar discal cyst. Our case sheds some light on anatomy, possible etiological association and clinical course which can help management. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2015.1100274

    authors: Cho N,Keith J,Pirouzmand F

    更新日期:2016-12-01 00:00:00

  • The outcome of unilateral occipital lobectomy in 12 foetal lambs in about the 100th day of gestation: a preliminary report.

    abstract::In this study occipital lobectomies were carried out on 12 foetal lambs on about the 100th day of gestation. Three lambs were born alive and had computed tomographic (CT) scans performed on the 13th or 18th day of life. One lamb was found to have hydrocephalus due to ventriculitis. All three lambs had low attenuation ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688698709023777

    authors: Bannister CM,Chapman SA,Cranley JJ,Turnbull IW

    更新日期:1987-01-01 00:00:00

  • Lactic acid, neuron-specific enolase, and blood-brain barrier index after a severe traumatic brain injury: a prospective study.

    abstract:OBJECTIVE:To explore the clinical significance of dynamic monitoring of cerebrospinal fluid (CSF) and serum Lactic acid(Lac), neuron-specific enolase (NSE), and the blood-brain barrier (BBB) index in evaluating the condition and prognosis after a severe traumatic brain injury (TBI). METHODS:A total of 52 severe TBI pa...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1823938

    authors: Lu W,Jiang C,Wang Z,Chen Y,Bai R,Yan G,Wang G,Ren H

    更新日期:2020-10-05 00:00:00

  • Cortical thermal clearance monitoring in surgery for a giant middle cerebral artery aneurysm.

    abstract::Cortical thermal clearance was used during surgery for clipping of a giant middle cerebral artery (MCA) aneurysm. During prolonged continuous proximal MCA occlusion thermal clearance remained normal, indicating sufficient collateral blood supply. Postoperatively the patient had no neurological deficit. This monitoring...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688699308995097

    authors: Choksey MS,Chambers IR,Jenkins A,Mendelow AD,Sengupta RP

    更新日期:1993-01-01 00:00:00

  • Tonsillar herniation as a complication of lumboperitoneal shunt: case report and literature review.

    abstract::Tonsillar herniation is a rare and seldom reported complication after lumboperitoneal (LP) shunting. There have been only few reports that have presented possible options for treatment with varying degrees of success. In this report, we describe a rare case of tonsillar herniation after LP shunting and review related ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2018.1538481

    authors: Cheng CH,Lin HL,Chuang HY

    更新日期:2018-12-06 00:00:00

  • The influence of barbiturates on cerebral metabolism in patients with borderline cerebrovascular reserve during intraoperative transient carotid occlusion.

    abstract::Sixty patients with borderline or frank insufficiency of their cerebrovascular reserve undergoing carotid endarterectomy were given enough short acting barbiturates, during cross clamping of the internal carotid artery, to cause EEG burst suppression. Arterial and venous concentrations of lactate were measured in bloo...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688698909002828

    authors: Wassman H,Fromm G,Nadstawek J,Bannister C,Hartmann A,Pavlidis C

    更新日期:1989-01-01 00:00:00

  • Neuronavigation-assisted percutaneous balloon compression for the treatment of trigeminal neuralgia: The technique and short-term clinical results.

    abstract:BACKGROUND:Percutaneous balloon compression (PBC) has been widely used in the treatment of trigeminal neuralgia. However, this technique has a steep learning curve and significant complications were reported that were related to foramen ovale puncturing. The aim of this study was to evaluate the clinical results of a s...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2015.1019418

    authors: Aydoseli A,Akcakaya MO,Aras Y,Sabanci PA,Unal TC,Sencer A,Hepgul K,Unal OF,Barlas O,Izgi N

    更新日期:2015-01-01 00:00:00

  • Solitary neurolymphomatosis of the brachial plexus mimicking benign nerve sheath tumour: case report.

    abstract::Neurolymphomatosis typically appears as a diffuse lesion with thickening of the affected nerves on magnetic resonance imaging (MRI). MRI in the present case revealed a well-defined, solitary lesion showing continuity with brachial plexus nerves. Findings including clinical symptoms resembled benign nerve sheath tumour...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2012.737959

    authors: Okada M,Takamatsu K,Oebisu N,Nakamura H

    更新日期:2013-06-01 00:00:00

  • The treatment of nosocomial meningitis and brain abscess by carbapenem-resistant Klebsiella pneumonia.

    abstract::We report the fourth case of Carbapenem-resistant Klebsiella pneumoniae (CRKP) meningitis and the only one associated with brain abscess formation. A 29-years-old male patient developed septic shock 13 days after a right nasopharyngeal AVM resection. CRKP was grown from CSF with a MIC for meropenem ≥16 mg/L. Intraveno...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2018.1530729

    authors: Chen Y,Liu L

    更新日期:2019-07-25 00:00:00

  • Use of robot-guided stereotactic placement of intracerebral electrodes for investigation of focal epilepsy: initial experience in the UK.

    abstract::We describe the operative technique and our preliminary experience with use of the Renishaw neuromate(®) stereotactic robot to implant depth electrodes for investigation of focal epilepsy in the UK. Conventional electrocorticography involving a craniotomy and implantation of grids of electrodes directly onto the brain...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2013.798859

    authors: Abhinav K,Prakash S,Sandeman DR

    更新日期:2013-10-01 00:00:00

  • Cauda equina syndrome: outcome and implications for management.

    abstract::A retrospective review of all patients who had surgery for cauda equina syndrome (CES) due to a herniated lumbar disc between January 1996 and November 1999 was undertaken. All underwent laminectomy and discectomy, and had been admitted as emergencies with cauda equina syndrome. Ten women and 10 men with a mean age of...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/0268869031000109098

    authors: Hussain SA,Gullan RW,Chitnavis BP

    更新日期:2003-04-01 00:00:00

  • Effects of surgery on cognitive functioning of elderly patients with intracranial meningioma.

    abstract::Few data are available concerning the outcome of surgical removal of intracranial meningioma in elderly patients. Surgical criteria and prognostic factors are considerations in the decision as to whether neurosurgical removal should be attempted in elderly patients. The present study appears to be the first to examine...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690151127608

    authors: Tucha O,Smely C,Lange KW

    更新日期:2001-04-01 00:00:00

  • Impact of 1p/19q codeletion on the diagnosis and prognosis of different grades of meningioma.

    abstract:BACKGROUND:Meningiomas are one of the most common tumours to affect the central nervous system. Genetic mutations are important in meningeal tumourigenesis, progression and prognosis. In this study, we aimed to examine the effect of 1p/19q deletion on the diagnosis and prognosis of meningioma subtypes using the fluores...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2016.1181155

    authors: Basaran R,Uslu S,Gucluer B,Onoz M,Isik N,Tiryaki M,Yakicier C,Sav A,Elmaci I

    更新日期:2016-10-01 00:00:00

  • A thoracic complication of ventriculoperitoneal shunt: symptomatic hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter.

    abstract::Thoracic complications of ventriculoperitoneal (VP) shunt are very rare. We report an unusual case of VP shunt intrathoracic migration, associated with symptomatic hydrothorax. The patient was successfully managed with revision. We reviewed the 10 cases reported in the literature and discussed the mechanism of shunt-t...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690410001681046

    authors: Akyüz M,Uçar T,Göksu E

    更新日期:2004-04-01 00:00:00

  • Intracranial hemangiopericytoma after radiation treatment: first case in the literature.

    abstract::Background: Radiation exposure is a known risk factor for meningioma but there are no data regarding hemangiopericytoma and radiation exposure.Case Description: We report a 29-year-old pineoblastoma patient diagnosed with a hemangiopericytoma at a different location, after a successful surgical excision and adjuvant r...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688697.2020.1759779

    authors: Demirci Otluoglu G,Zorlu E,Yılmaz B,Akakın A,Yapıcıer O,Kilic T

    更新日期:2020-05-07 00:00:00

  • New oral anticoagulant and antiplatelet agents for neurosurgeons.

    abstract::Until recently, warfarin, clopidogrel and aspirin have provided the mainstay for prevention of thrombotic disease in cardiac patients. However, new classes of drugs have recently emerged that promise better clinical outcomes and lower risks. Use of such agents has increased, but increased risk and severity of intra-cr...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3109/02688697.2015.1029433

    authors: Kimpton G,Dabbous B,Leach P

    更新日期:2015-01-01 00:00:00

  • Transcranial doppler ultrasonography as an early outcome forecaster following severe brain injury.

    abstract::Knowledge of post-traumatic cerebral haemodynamic disturbances might be beneficial for predicting the management outcome when measuring the basal cerebral arteries blood flow velocity by ultrasonic transcranial Doppler device immediately after severe head injury. Thirty patients who sustained severe brain injury under...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.1080/02688690601048104

    authors: Splavski B,Radanović B,Vranković D,Has B,Muzević D,Janculjak D,Legcević J

    更新日期:2006-12-01 00:00:00

  • The impact of cranioplasty on neurological function.

    abstract:OBJECTIVES:To assess changes in neurological function after cranioplasty. METHODS:Functional and neurocognitive assessments including activities of daily living assessment, functional independence measure (FIM) and the Cognitive assessment report (COGNISTAT) were conducted on all patients within 72 h before and 7 days...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3109/02688697.2013.817532

    authors: Honeybul S,Janzen C,Kruger K,Ho KM

    更新日期:2013-10-01 00:00:00

  • Chordoid glioma: an uncommon tumour of the third ventricle.

    abstract::Chordoid glioma, a rare tumour of the third ventricle, has distinctive histological appearances. Fewer than 20 cases have been reported in the literature, all but three in females. This paper describes a 54-year-old man with a chordoid glioma and reviews the clinicopathological features of this lesion. ...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1080/02688690120036865

    authors: Galloway M,Afshar F,Geddes JF

    更新日期:2001-04-01 00:00:00

  • Predicting the outcome for individual patients with traumatic brain injury: a case-based review.

    abstract:BACKGROUND:Traumatic brain injuries result in significant morbidity and mortality. Accurate prediction of prognosis is desirable to inform treatment decisions and counsel family members. Objective To review the currently available prognostic tools for use in traumatic brain injury (TBI), to analyse their value in indiv...

    journal_title:British journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3109/02688697.2016.1139048

    authors: Carter EL,Hutchinson PJ,Kolias AG,Menon DK

    更新日期:2016-01-01 00:00:00