Abstract:
:Patients with severe head injury with bilateral dilated unreactive pupils are considered to have a grave prognosis. Hence proper planning and aggressive management becomes mandatory for achieving good results. We present the outcome of consecutive 166 patients with severe head injury, admitted between January 1996 and December 2000 and analysed retrospectively. All the patients had an initial GCS of 8 or less and post resuscitation bilateral dilated unreactive pupils. Our aim was to analyze the long term outcome in these patients and identify the other significant prognostic factors. Of the 166 patients, 42 (25.30%) had a functional outcome (good recovery in 10.24%, moderate disability in 15.06%), and 124 (74.69%) had a poor outcome (death in 58.43% and severe disability in 16.26% of cases). There were 45 patients with polytrauma and 24 of these patients (53.33%) succumbed to the injuries. Obliteration of the basal cisterns and contusion were the common CT scan findings. Factors adversely affecting the survival included age of the patient, polytrauma with shock, initial GCS of 3 or 4, and compression of the basal cisterns on the initial CT scans. At follow up, most of the patients with a functional outcome showed a significant improvement in their motor function but continued to have neuro-behavioral and cognitive deficits.
journal_name
Neurol Indiajournal_title
Neurology Indiaauthors
Sousa J,Sharma RR,Pawar SJ,Mahapatra A,Lad SDsubject
Has Abstractpub_date
2002-12-01 00:00:00pages
430-5issue
4eissn
0028-3886issn
1998-4022journal_volume
50pub_type
杂志文章相关文献
NEUROLOGY INDIA文献大全abstract::A histopathologically proven case of cerebral toxoplasmosis in a young HIV positive patient has been presented. The clinical problems in management are highlighted. ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2000-06-01 00:00:00
abstract::Prescription writing has to be properly addressed with regard to its correctness and appropriateness. Any errors in the procedure have to be eliminated. Electronic prescribing has abolished most of typographical prescription errors but the rationality involved in prescription of drugs is more of a thought process, whi...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.236960
更新日期:2018-07-01 00:00:00
abstract:Background:The choice of fluid is important in neurosurgical patients, who may be dehydrated due to the administration of diuretics in order to reduce cerebral edema. Normal saline, the infused fluid routinely used in neurosurgical patients, can cause hyperchloremic metabolic acidosis. A balanced crystalloid (BC) may h...
journal_title:Neurology India
pub_type: 杂志文章,随机对照试验
doi:10.4103/0028-3886.241347
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:To investigate the value of susceptibility weighted imaging (SWI) in evaluating the histopathologic grade of cerebral astrocytomas and compare the relative value of SWI and conventional magnetic resonance imaging (MRI) sequences. MATERIALS AND METHODS:This is an analysis of 26 untreated patients with patholo...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.117617
更新日期:2013-07-01 00:00:00
abstract::A suction pressure control valve (SPCV) for microneurosurgery is designed to place control of safe suction pressure in the hands of an operating neurosurgeon. Tumor tissue needs more negative suction pressure as compared to normal brain tissue, cranial nerves, and vessels in the neurosurgical operating field. The auth...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.288977
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:While operating intracranial meningiomas, neurosurgeons commonly drill the hyperostotic bone and put the bone flap back. OBJECTIVE:To determine whether bony changes seen in meningioma are due to tumor invasion or reactionary changes. MATERIALS AND METHODS:This prospective study, conducted over 10 months (O...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.93589
更新日期:2012-01-01 00:00:00
abstract::Neuronal migration disorders are an important differential diagnosis to be considered in the evaluation of intractable epilepsy. Though the underlying causative factors which govern their development are many and varied, genetic factors have been found to be contributory in a few forms of these disorders. An X-linked ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:The operative approaches for colloid cyst excision are varied with open microsurgical excision still being considered as the "gold standard". Endoscopic removal of these cysts is gaining in popularity. AIMS:To document the efficacy and safety of the endoscope for colloid cyst excision. MATERIALS AND METHOD...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.66222
更新日期:2010-05-01 00:00:00
abstract:Objective:To investigate the application value of using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) with extended Tofts linear model for relapsing-remitting multiple sclerosis (RRMS) and its correlation with expanded disability status scale (EDSS) scores and disease duration. Materials and Methods:T...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.232324
更新日期:2018-05-01 00:00:00
abstract:Objective and Aims:To study hormonal axis (HA) dysfunction pre-operatively and at three months after surgery in patients with large (>3 cms) (Hardy's grade C) and giant (>4 cms) nonfunctioning pituitary adenomas (NFPA). Methods:One hundred thirty nine patients operated between 2006 and 2017, with 3 months post-operati...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.287670
更新日期:2020-05-01 00:00:00
abstract:Introduction:Neurologists spend a significant amount of time in providing out-patient services. No comprehensive studies are there from India which have looked into the real burden of these common disorders in the out-patient population. This study was done to get a clear data on the burden of these disorders. Objecti...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.263249
更新日期:2019-05-01 00:00:00
abstract::Stroke is a common but under recognized complication of neurocysticercosis (NCC). We report six patients having NCC who presented with stroke. All patients were young with no vascular risk factors. The arteritis which resulted in ischaemic infarct in these patients was related to the presence and severity of arachnoid...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract::With the aging population in our country, symptomatic osteoporotic compression fractures are increasingly common. Osteolytic compression fractures from spinal metastasis are also becoming more frequently seen because of the longer life expectancy from improvements in chemotherapy. Percutaneous vertebroplasty with PMMA...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.22617
更新日期:2005-12-01 00:00:00
abstract::In this paper we report an 18 year old woman with an intradural extramedullary tuberculoma mimicking en plaque meningioma located in the thoracic region. The patient was operated via thoracic laminoplasty and tumor was totally resected. On the follow-up examination the magnetic resonance imaging demonstrated the total...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.51300
更新日期:2009-03-01 00:00:00
abstract::The clinical characteristics of aggressive craniocervical junction dural arteriovenous fistula (CCJDAVF) and effect treatment was studied in four patients and all four patients were treated endovascularly with liquid embolic agents. Post-embolization angiography documented complete obliteration in one patient and part...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.93612
更新日期:2012-01-01 00:00:00
abstract::A simultaneous odontoid decompression and bilateral posterior atlanto-axial facetal distraction, C1-2 joint spacer/bone graft placement and stabilization may be performed utilizing the 'posterior-only' approach. This procedure may be performed utilizing a single posterior midline incision, a bilateral posterior approa...
journal_title:Neurology India
pub_type:
doi:10.4103/neuroindia.NI_819_17
更新日期:2017-09-01 00:00:00
abstract::Traditional posterior approaches to the thoracic spine are done with either costo-transversectomy, lateral extracavitary approaches, or transpedicular approaches. The transpedicular approach is the only one that preserves the rib head. However, placing an expandable cage with this rib head intact poses special challen...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.55602
更新日期:2009-07-01 00:00:00
abstract::A "Hot Cross Bun" sign on T2-weighted MRI was described as a result of selective loss of myelinated transverse pontocerebellar fibers and neurons in the pontine raphe with preservation of the pontine tegmentum and corticospinal tracts (CST). However, neuropathologic studies showed contradicting results with no sparing...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.79143
更新日期:2011-03-01 00:00:00
abstract::The present report highlights an unusual presentation of vitamin B12 deficiency--recurrent seizures in a 26-year-old man. His symptoms responded to parenteral vitamin B12 therapy. The relevant literature is reviewed. ...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2004-03-01 00:00:00
abstract:AIMS:To study and compare the electrophysiological changes in neuroparalytic or vasculotoxic snakebites. MATERIALS AND METHODS:40 patients who had a definite history of snakebite, either vasculotoxic or neuroparalytic, were selected. They were grouped as Group A, 20 patients having a neuroparalytic snakebite with defi...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.158214
更新日期:2015-05-01 00:00:00
abstract:Objective:The natural history of glucose intolerance (GI) in patients with acromegaly undergoing surgical treatment has not been fully understood. This study was aimed to unravel the prevalence and predictors of recovery from GI in these patients in a prospective multivariate model. Materials and Methods:Patients with...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.263242
更新日期:2019-05-01 00:00:00
abstract::Spinal congenital dermal sinus is a rare entity, which supposedly results from the failure of neuroectoderm to separate from the cutaneous ectoderm during the process of neurulation. The present study was undertaken to know the clinical profile of these patients, to study associated anomalies and to assess the results...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract::A retrospective analysis of 326 clinically diagnosed cases with meningitis over a period of five-and-a-half years was carried out to determine the prevalence of cryptococcal infection, its associated risk factors and therapeutic outcome. Fifty-four (16.6%) patients with cryptococcal meningitis were identified by smear...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract::Headaches are commonly associated with various psychiatric disorders. The comorbidity of migraine and psychiatric disorders has been well documented. Here we present a case of schizophrenia with comorbid headache treated with clozapine. The patient's headache fulfilled the diagnostic criteria for cluster headache (CH)...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2006-06-01 00:00:00
abstract::Aneurysmal bone cyst in temporal region is rare. It is a benign condition and may extend intracranially. Total surgical removal is recommended, whenever possible in one stage or in multiple stages. Prognosis is excellent and total removal will effect a cure. An unusual case of aneurysmal bone cyst of temporal region i...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract::A Neuroepidemiological survey was carried at Malda district, 350 Km away from Calcutta; exactly at midpoint between Siliguri and Calcutta on a rural population of 37,286 (M 18,057; F 19,229; 1981 Census) under three Gram Panchayat areas with the help of non-professionals like Gram Panchayat members, ICDS workers, mult...
journal_title:Neurology India
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::Lipomatous meningiomas are an uncommon subtype of meningiomas. In the present report, the clinical characteristics, neuroimaing and pathological features of 5 patients (4 males, 1 female; age range, 17-45 years; mean age, 35.2 years) with lipomatous meningioma were analyzed. The neuro-pathological reevaluation of lipo...
journal_title:Neurology India
pub_type: 杂志文章,评审
doi:10.4103/0028-3886.76876
更新日期:2011-01-01 00:00:00
abstract::The present study focuses on the incidence of epileptic seizures in 1000 patients (200 children and 800 adults) with migraine. Very few patients with migraine had history of epileptic seizures. No patient had migraine-induced seizures and none had seizure-induced migraine like headaches. Occurrence of psychogenic non-...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.68680
更新日期:2010-07-01 00:00:00
abstract::Seth Gordhandas Sunderdas Medical College and King Edward VII Memorial (K.E.M.) Hospital, Mumbai were inaugurated in 1925. This article traces its illustrious history and of the eminent neurosurgeons who shaped its destiny. ...
journal_title:Neurology India
pub_type: 历史文章,杂志文章
doi:10.4103/neuroindia.NI_523_17
更新日期:2017-07-01 00:00:00
abstract:PURPOSE:To summarize our experience in treating patients with spinal angiolipomas. MATERIALS AND METHODS:We conducted a retrospective review of the case records of patients with spinal angiolipoma who underwent surgery between March 1992 and March 2013. RESULTS:Of the 12 patients seen during the study period, 10 pati...
journal_title:Neurology India
pub_type: 杂志文章
doi:10.4103/0028-3886.141232
更新日期:2014-07-01 00:00:00