Advertisement

Epidemiology, Classifications, and Prognosis of Severe Craniocerebral Injuries: Computer-Assisted Study of 9038 Cases

  • H. W. Pia
  • H. Abtahi
  • R. Schönmayer
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 5)

Abstract

This computer-assisted clinical analysis was motivated by the increasing frequency of craniocerebral injuries, as well as by the change of types of injuries sustained and improved diagnostic and therapeutic possibilities. This change in the types of injuries resulted from the different nature of the accidents, accompanying environmental damages, and the increase in the higher age categories. The investigation is based on 9038 cases of craniocerebral injuries, treated 1942–1974 in Giessen. Of these 9038 cases, 1970 cases were treated 1942–1952 in the Department of Surgery, University of Giessen and had been described earlier (PIA, 37). We also refer to a computer evaluation of the coded statistical data from 3455 cases originating from the Surgical Clinic during 1960–1974 and from 3793 cases originating from the Neurosurgical Clinic from 1953–1974. The material covers a period of 33 years with a partial exception relating to the years 1953–1960. The cases treated at the Department of Surgery were handled on a consultatory basis with the Department of Neurosurgery. The number of cases admitted increased steadily, predominantly 1942–1952, with an increase from 80 cases yearly to 310 cases yearly. The absolute number of more than 500 cases during the period 1960–1974 shows the further increase and a rising tendency.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    JAMIESON, K.G., YELLAND, J.D.N.: Extradural haematoma. Report of 167 cases. J. Neurosurg. 29, 13–23 (1968)PubMedCrossRefGoogle Scholar
  2. 2.
    LOEW, F., WÜSTNER, S.: Diagnose, Behandlung und Prognose der traumatischen Hämatome des Schädelinnern. Wien: Springer 1960Google Scholar
  3. 3.
    PIA, H.W.: Indikation zu chirurgischem Eingreifen bei Schädel-Hirnverletzungen unter besonderer Berücksichtigung der Verkehrsunfälle. Langenbecks Arch. Chir. 279, 178–180 (1954)PubMedCrossRefGoogle Scholar
  4. 4.
    PIA, H.W.: Klinik und Behandlung der schweren gedeckten Hirnverletzungen. Langenbecks Arch. Chir. 280, 623–634 (1955)PubMedCrossRefGoogle Scholar
  5. 5.
    PIA, H.W.: Therapeutische Maßnahmen bei gedeckten Schädel-Hirnverletzungen. Chirurg 27, 415–420 (1956)PubMedGoogle Scholar
  6. 6.
    PIA, H.W.: Die Bewußtseinsstörungen bei Hirnverletzungen. Langenbecks Arch. Chir. 281, 652–661 (1956)PubMedCrossRefGoogle Scholar
  7. 7.
    PIA, H.W.: Fehler und Gefahren bei der Diagnose und Behandlung gedeckter Hirnverletzungen. Langenbecks Arch. Chir. 298, 110–120 (1961)PubMedCrossRefGoogle Scholar
  8. 8.
    TÖNNIS, W., FROWEIN, R.A., LOEW, F., GROTE, W., HEMMER, R., KLUG, W., FINKEMEYER, H.: Organisation der Behandlung schwerer Schädel-Hirn-Verletzungen. Stuttgart: Georg Thieme 1968Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1978

Authors and Affiliations

  • H. W. Pia
  • H. Abtahi
  • R. Schönmayer

There are no affiliations available

Personalised recommendations