Abstract
M29, RH, plasterer, intoxicated with EtoH and crashed into a tree at 40 mph. At scene GCS E2 V2 M5, I+V+S, upon admission left pupil dilated to 5 mm
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Abbreviations
- ASDH:
-
Acute sub-dural haematoma
- C spine:
-
Cervical spine
- CT CAP:
-
Computed tomography chest abdomen and pelvis
- CTH:
-
Computed tomography head
- DAI:
-
Diffuse axonal injury
- EDH:
-
Extra dural haematoma
- F/U:
-
Follow up
- ICP:
-
Intracranial pressure
- TBI:
-
Traumatic brain injury
Evidence
Abu Hamdeh S, Marklund N, Lannsjö M, Howells T, Raininko R, Wikström J, Enblad P. Extended anatomical grading in diffuse axonal injury using MRI: hemorrhagic lesions in the substantia nigra and mesencephalic tegmentum indicate poor long-term outcome. J Neurotrauma. 2017;34(2):341–52.
Adams JH, Doyle D, Ford I, Gennarelli TA, Graham DI, Mclellan DR. Diffuse axonal injury in head injury: definition, diagnosis and grading. Histopathology. 1989;15:49–59. https://doi.org/10.1111/j.1365-2559.1989.tb03040.x.
Deepika A, Prabhuraj AR, Saikia A, et al. Comparison of predictability of Marshall and Rotterdam CT scan scoring system in determining early mortality after traumatic brain injury. Acta Neurochir. 2015;157(11):2033–8. https://doi.org/10.1007/s00701-015-2575-5.
Marshall LF, Marshall SB, Klauber MR, et al. The diagnosis of head injury requires a classification based on computed axial tomography. J Neurotrauma. 1992;9(Suppl 1):S287–92.
Vieira RC, Paiva WS, de Oliveira DV, Teixeira MJ, de Andrade AF, de Sousa RMC. Diffuse axonal injury: epidemiology, outcome and associated risk factors. Front Neurol. 2016;7:178. https://doi.org/10.3389/fneur.2016.00178.
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Tolias, C.M., Giamouriadis, A., Hogg, F.R.A., Ghimire, P. (2019). Diffuse Axonal Injury. In: Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98234-2_3
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DOI: https://doi.org/10.1007/978-3-319-98234-2_3
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