Summary
A midline rupture of the mesencephalon was found in 3 young males surviving closed head injury for 3–5 days. Other brain damage was relatively mild, but there was brain oedema with signs of herniation. In only one case were there symptoms of a hypothalamic lesion. The author suggests that a rupture is initiated by the compression of the brain stem against the clivus, whereby the pedunculi are displaced away from each other, and that the rupture naturally continues along the midline vessels to end in the aqueduct.
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References
Adams, J. H., The neuropathology of head injuries. In: Handbook of clinical neurology, Vol. 23 (Vinken, P. J., Bruyn, G. W., eds.), pp. 35 65. Amsterdam: North-Holland. 1975.
Crompton, M. R., Brainstem lesions due to closed head injury. Lancet i (1971), 669–673.
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© 1983 Springer-Verlag Wien
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Bojsen-Møller, M. (1983). Midline Rupture of the Mesencephalon. In: Adams, J.H. (eds) Trauma and Regeneration. Acta Neurochirurgica Supplementum, vol 32. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4147-2_14
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DOI: https://doi.org/10.1007/978-3-7091-4147-2_14
Publisher Name: Springer, Vienna
Print ISBN: 978-3-211-81775-9
Online ISBN: 978-3-7091-4147-2
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