OBJECTIVE The purpose of this study was to discover the differences among victims who had traumatic brain injury due to traffic accidents. METHODS Medical record of the head injury patients were analyzed according to their classification as traffic accident victims (pedestrian, motorcyclist or passenger and other motor vehicle deriver or passenger), age, gender, admission type (admitted from ...

INTRODUCTION Severe fever with thrombocytopenia syndrome (SFTS) is an emerging infectious disease that was first reported in China in 2011. However, it is now endemic in Japan, and the SFTS viruses in Japan and China have evolved independently. Its fatality rate is 26.5 % in Japan, and the viral load is related to morbidity. CASE DESCRIPTION We encountered two patients with SFTS. Case 1 is a ...

OBJECTIVE The aim of this study was to explore the relationship between the proteins S100B and S100A1B and symptoms and signs of cognitive impairment for 3 months after mild traumatic brain injury (MTBI). METHODS Serum concentrations of S100A1B and S100B were examined in a prospective cohort study of patients with MTBI and a Glasgow Coma Scale score of 14 or 15. Cognitive performance was asse...

BACKGROUND Prediction of extubation failure, particularly in neurocritical patients, is unique and controversial. We conducted a systematic review and meta-analysis to identify the risk factors for extubation failure in these patients. METHODS A literature search of databases (MEDLINE, EMBASE, the Cochrane Library, and Web of Science) was performed up to August of 2013 to identify trials that...

OBJECTIVE The purpose of this study is to evaluate the associations between 30-day mortality and various radiological and clinical factors in patients with traumatic acute subdural hematoma (SDH). During the 11-year study period, young patients who underwent surgery for SDH were followed for 30 days. Patients who died due to other medical comorbidities or other organ problems were not included ...

A 41 years old male, known case of valvular heart disease on anticoagulants was operated for chronic subdural hematoma 4 days back at another facility (Fig. 1). Despite hematoma evacuation patient did not show the expected neurological recovery, rather his clinical condition had deterioration. At the time of admission patient was drowsy with Glasgow coma score of E2V2M3 and had pupillary asymme...

BACKGROUND Allocating resources appropriately requires knowing whether obese patients use more resources during a hospital stay than nonobese patients. OBJECTIVES To determine if trauma patients with different body mass indexes differed in use of resources measured as a multifaceted outcome variable. METHODS A trauma registry was used for a retrospective study of adult patients admitted to ...

BACKGROUND AND PURPOSE Spontaneous intracerebral hemorrhage is a major cause of death and disability, yet there is no convincing evidence of the benefit of any medical treatment and the role of surgery remains controversial. The international randomized Surgical Trial in Intracerebral Hemorrhage (STICH) provided an opportunity to assess the role of surgery within the centers taking part. METH...

BACKGROUND brainstem auditory evoked potentials in brain death. AIM to verify the agreement between the response in the auditory brainstem audiometry and the clinical outcome, analyzing the pattern of responses to electric stimulation. METHOD a cross-sectional study performed in 30 patients with Glasgow coma score of 3, submitted to the auditory brainstem audiometry and followed up until th...

A prospective study was done during a six-month period on 104 consecutive patients who were seen at the Accident and Emergency (A&E) Department of the UHWI and referred for CT scans of the head within 24 hours of sustaining head injuries. There were 74 (71.1%) males and 30 (28.8%) females. The mean age for females was 40.6 years and 32.4 years for males. Patients were clinically assessed for th...