CASE REPORT A 59-year-old male presented to the emergency department after having been struck on the head multiple times with a hammer. On presentation, vital signs were all within normal limits and primary exam was only impressive for a large left sided parietal-temporal hematoma. The patient could move all extremities and follow all commands. It was noted, however, that he was not speaking. I...

Traumatic brain injuries were analysed clinically and experimentally by recording stationary potential(SP) which is a very stable component in the electrical phenomena of the brain. SP value is considered to change positively or negatively only when there are organic lesions, severe metabolic changes of the brain, or epileptic seizures. Clinically, we have measured the SP of 103 head-injure...

The Schatzker classification of tibial plateau fractures is widely accepted. Type IV fractures are medial tibial plateau fractures that are either split off as a wedge fragment or depressed and comminuted. Posterior articular surface depression in Schatzker type IV tibial plateau fractures can be seen as a unique variant that increases the difficulty of reduction of the articular surface. Its m...

RATIONALE The superior sagittal sinus (SSS) is the major dural sinuses that receive a considerable amount of venous drainage. Interruption of its posterior third has been suggested to cause intracranial hypertension and lead to potentially fatal consequences. PATIENT CONCERNS We presented a 22-year-old man with a severe headache and scalp bleeding after a head chop wound. Physical examination...

A relationship between social deprivation and the incidence of fracture in adolescents has not previously been shown. We have used a complete fracture database to identify adolescents who sustained fractures in 2000. The 2001 Scottish census was used to obtain age-specific population and deprivation data according to the Carstairs score. Regression analysis determined the relationship between t...

Tension pneumocephalus is an uncommon and life-threatening neurological condition. It requires emergent and immediate attention to prevent fatal complications. Head injury is the most common cause of tension pneumocephalus. Air can gain access into the cranium either through a fracture involving paranasal sinus or the middle ear cavity or even more rarely in association with a compound depresse...

Pneumocephalus is defined as an intracranial gas collection which can be localized in the epidural, subdural, subarachnoid, intraventricular or intraparenchymal spaces. Pneumocephalus has numerous causes, including barotrauma, neoplasms, and spinal anesthesia. However, the majority of pneumocephalus cases are traumatic or iatrogenic in nature. A review of 295 patients with pneumocephalus by Mar...