Mass volume measurement in severe head injury

Mass volume measurement in severe head injury: accuracy and feasibility of two pragmatic methods.

OBJECTIVE To assess the clinical feasibility and the accuracy of two pragmatic methods in comparison with a conventional computer based method of measurement of masses from CT. METHODS Nineteen CT scans of 11 patients with severe head injury, showing 34 traumatic lesions, were examined. The volume of every lesion was digitally measured, then a panel of three examiners independently repeated t...

Treatment for severe head injury.

Difficulties in establishing the value of certain treatments for head injury are reviewed. An analysis of 1000 severely head injured patients, managed by varying methods in three different countries, showed that certain treatments were more often used in the most severely injured patients. Even when the severity of injury was taken account of, it appeared that the use of steroids and tracheosto...

Patient after Severe Head Injury

Background: The pharmacodynamic differences in time to onset and dissipation of effect of sufentanil, fentanyl, and alfentanil probably result from different rates of blood-brain equilibration. The authors investigated this hypothesis in humans. Methods: After simultaneous central venous bolus application of sufentanil (10 pg), fentanyl (100 pg), and alfentanil (1,000 pg), arterial and jugular ...

Neuroprotective agents in severe head injury.

Cognitive recovery after severe head injury

SYNOPSIS The Wechsler Adult Intelligence Scale (WAIS) was administered to two matched groups of severely head-injured patients. The first administration was early in the recovery period, when group I was still in post-traumatic amnesia. The WAIS results for this group were significantly lower than those of group II, who were fully conscious. A follow-up at a later stage of recovery found that g...