The Electroencephalogram in the Elderly: Discrimination from Demented Patients and Correlation with CT Scan and Neuropsychological Data

2015 ◽  
pp. 50-65
Author(s):  
Salvatore Giaquinto ◽  
Giuseppe Nolfe
Keyword(s):  
Ct Scan ◽  
The Elderly

scholarly journals The influence of the CT scan in the evaluation and treatment of nondisplaced femoral neck fractures in the elderly

2019 ◽  
Vol 27 (2) ◽  
pp. 230949901983616 ◽  
Author(s):  
Tomas Zamora ◽  
Ianiv Klaber ◽  
Joaquin Ananias ◽  
Francisco Bengoa ◽  
Eduardo Botello ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Ct Scan ◽  
The Elderly ◽  
Femoral Neck Fractures

scholarly journals Relevance of emergency head CT scan for fall in the elderly person

2020 ◽  
Vol 47 (1) ◽  
pp. 54-58
Author(s):  
Pierre-Jean Pages ◽  
Marie-Paule Boncoeur-Martel ◽  
François Dalmay ◽  
Henri Salle ◽  
François Caire ◽  
...  
Keyword(s):  
Ct Scan ◽  
Elderly Person ◽  
The Elderly ◽  
Head Ct

scholarly journals Incidence and risk factors of portomesenteric venous thrombosis after colorectal surgery for cancer in the elderly population

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Michele Manigrasso ◽  
Marco Milone ◽  
Nunzio Velotti ◽  
Sara Vertaldi ◽  
Pietro Schettino ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Abdominal Pain ◽  
Colorectal Surgery ◽  
Venous Thrombosis ◽  
Ct Scan ◽  
Elderly Population ◽  
The Elderly ◽  
Duration Of Surgery ◽  
Portomesenteric Venous Thrombosis

Abstract Background Although it is known that portomesenteric venous thrombosis (PMVT) is associated with total colectomy and proctocolectomy in young patients with inflammatory bowel disease, little is known about incidence and risk factors of PMVT among the elderly population undergoing colorectal surgery for cancer. Methods Data of elderly patients (> 70 years) undergoing surgery for colorectal cancer were retrospectively registered. The occurrence of PMVT was correlated with the patients’ characteristics and operative variables. Data collected included age, sex, obesity, ASA score, tumor degree, type of surgical resection, surgical approach (laparoscopic or open), and duration of surgery (from skin incision to the application of dressings). Results A total of 137 patients > 70 years who underwent surgery for colorectal cancer and developed an acute intraabdominal process with suggestive symptoms, needing a CT scan, were included. Three of these patients (2.1%) had portomesenteric venous thrombosis during the study period, which was proved with CT scan. There were no significant patients’ characteristics or operative variables between patients with or without the occurrence of PMVT after surgery. Of interest, only operative time was significantly higher in patients with PMVT after surgery (256 ± 40 vs 140 ± 41, p < 0.001). Conclusions PMVT as a cause of abdominal pain after colorectal surgery for cancer in the elderly population is uncommon. An index of suspicion for PMVT in an elderly postoperative colorectal cancer patient with sudden onset of abdominal pain must be maintained.

scholarly journals The Value of CT Three-Dimensional Reconstruction in Nursing and Diagnosis of Senile Hip Fracture

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Yuanyuan Shi ◽  
Si Chen ◽  
Xue Chen ◽  
Pan Xue
Keyword(s):  
Hip Fracture ◽  
3D Reconstruction ◽  
Ct Scan ◽  
Three Dimensional ◽  
The Elderly ◽  
Three Dimensional Reconstruction ◽  
X Ray ◽  
Dimensional Reconstruction ◽  
Bone Fragments ◽  
Conventional Ct

Aim. To study the diagnostic effect of hip fracture in the elderly. In this paper, a total of 100 elderly patients with hip fracture from January 2020 to May 2021 were selected for X-ray and CT examination after admission. The operation was taken as the final criteria for determining hip fracture type, and the diagnosis of hip fracture by CT three-dimensional reconstruction was analyzed and studied. The results showed that the diagnostic rate of CT 3D reconstruction for various types of hip fracture in the elderly was higher than that of CT plain scan and X-ray ( P < 0.05 ). For the diagnosis of intra-articular small bone fragments, the rate of missed diagnosis was 2% (2/100) with CT 3D reconstruction, 10% (10/100) with conventional CT scan, and 20% (20/100) with X-ray. The rate of misdiagnosis was 5.0% (5/100) with CT 3D reconstruction. Routine CT scan was 15% (15/100), X-ray was 30% (30/100), and CT 3D reconstruction was significantly lower than other examinations ( P < 0.05 ). Conclusion. CT 3D reconstruction has high accuracy in the diagnosis of various types of hip fractures in the elderly.

Concussion in the Elderly

2019 ◽  
pp. 178-179
Author(s):  
David L. Brody
Keyword(s):  
Computed Tomography ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Side Effects ◽  
Ct Scan ◽  
Balance Training ◽  
The Elderly ◽  
Elderly Individuals ◽  
Risk Of Falls ◽  
Reduce Risk

Elderly individuals over age 65 represent the fastest growing group of traumatic brain injury patients. Many elderly individuals are taking anticoagulant medications, and an initial computed tomography (CT) scan is warranted to rule out intracranial hemorrhage, though a second CT scan is generally unnecessary if the first scan is negative and the patient’s neurological condition is stable. Elderly can be more susceptible to side effects of medications; thus, smaller doses may be preferred. Balance training is advised to reduce risk of falls. Concussion may be both a cause and a consequence of neurodegenerative diseases. Driving may be especially problematic in elderly after concussion.

scholarly journals Elderly pedestrian neurotrauma: A descriptive study from a premier neurotrauma center in India

2013 ◽  
Vol 04 (01) ◽  
pp. 29-32 ◽  
Author(s):  
Ashok Munivenkatappa ◽  
Nupur Pruthi ◽  
Mariamma Philip ◽  
Bhagavatula I Devi ◽  
Sampath Somanna
Keyword(s):  
Head Injury ◽  
Mortality Rate ◽  
Ct Scan ◽  
Demographic Data ◽  
The Elderly ◽  
Clinical Findings ◽  
Subdural Hemorrhage ◽  
Elderly Age ◽  
Tertiary Center ◽  
The City

ABSTRACT Context: Experience with elderly pedestrian neurotrauma at a major neurotrauma tertiary center. Aims: To highlight the specific injuries and outcome of the elderly pedestrian neurotrauma patients within the city of Bangalore and its surrounding districts. Settings and Design: A retrospective study consisting of demographic data, clinical findings, radiological details, and outcomes. Materials and Methods: A study was conducted at the casualty services, in which 143 consecutive elderly pedestrian (age >60 years) head injury victims were studied from June to September 2009. The records from the hospital mortuary were analyzed from 2007 to 2009. An analysis of 77 elderly patients who died as a pedestrian in accidents during this period was performed. Statistical Analysis Used: SPSS 15. Results: The elderly pedestrians constituted 27% (143/529) of all pedestrian traumas. Two wheelers were the most common accident vehicle (56.6%, 81/143). Most of the injuries (38.5%, 55/143) occurred during peak traffic hours, that is, 4 pm to 9 pm. Majority sustained moderate to severe head injury (61%, 87/143). More than three‑fourths of patients required a computed tomography (CT) scan (77%, 110/143), in which there was a higher frequency of contusion (31.5%, 45/143), and subdural hemorrhage (23.1%, 33/143). Most of the injured (43.3%, 13/30) underwent surgery for intracranial hematoma. The mortality rate was 22.8% (8/35). Nearly one‑fourth of conducted postmortems among pedestrians belonged to the elderly age group (77/326, 23.6%). Conclusions: Elderly pedestrian neurotrauma patients sustain a more severe injury as evident by poorer Glasgow Coma Score (GCS) scores and CT scan findings, and hence have a higher mortality rate.

Successful Partial Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in an Octogenarian Trauma Patient

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Tongporn Wannatoop ◽  
Chidpong Siritongtaworn ◽  
Kris Keorochana ◽  
Thongsak Wongpongsalee ◽  
Raywat Chunhasuwankul
Keyword(s):  
Elderly Patient ◽  
Ct Scan ◽  
Trauma Patient ◽  
Clinical Signs ◽  
Common Femoral Artery ◽  
The Elderly ◽  
Balloon Occlusion ◽  
Arterial Line ◽  
Pelvic Packing ◽  
Balloon Technique

- Background: To demonstrate how to perform successful REBOA/ABO in extreme elderly patient - Materials and methods: A case report - Results: A 86-year old male, he was struck by car and transferred to Level I Trauma center at Siriraj hospital after injury for 30 minutes. Arrival clinical signs were coma and hypotension, lowest SBP was 50 mmHg. Primary survey found unstable pelvic fracture and severe head injury. We did REBOA at Zone I via left common femoral artery which aim to do partial balloon technique by inflation with 15-18 mL and arterial line monitoring for goal SBP around 100-120 mmHg due to his extreme age and associated traumatic brain injury. After CT scan showed no intra-abdominal injury, we did reposition the balloon to zone III under fluoroscopy. Unexpectedly, during deflation the balloon before removal, we found fresh blood through the balloon port, then ruptured balloon was suspected and confirmed with aortography. We immediately converted to remove by open technique due to balloon was failed to shrinkage through 7-Fr sheath. We reviewed the CT scan was shown calcified plaque along aorta and arteries which could be the cause of ruptured balloon. Throughout all procedures to stop bleeding which are pelvic external fixation, preperitoneal pelvic packing and embolization at right internal iliac artery, patient was given PRC only 4 units and no inotropic support to stabilizing patient. Total inflation time was 167 minutes with partial and intermittent REBOA technique. ICU Admission lab showed normal renal and liver function. - Conclusion : To perform ABO/REBOA in extreme elderly trauma patient, the partial balloon technique with goal SBP to balance between associated injury in polytrauma patient is very essential. The specific concern in this group would be related with reserve function and the changing of vascular access. Techniques for detection and solving the uneventful conditions should be prepared and learnt to successfully save the elderly patient.

Computed Tomography in the Elderly

1986 ◽  
Vol 148 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Jonathan M. Bird ◽  
Raymond Levy ◽  
Robin J. Jacoby
Keyword(s):  
Ct Scan ◽  
Depressive Disorders ◽  
Late Onset ◽  
Disease Process ◽  
The Elderly ◽  
Ventricular Size ◽  
Computed Tomographic ◽  
Early Dementia ◽  
Over Time

The clinical, psychometric, and computed tomographic (CT) status of previously fit elderly volunteers is described at follow-up for up to four years. A number of relationships were found between psychometric and CT scores, but a dementing group could not be determined on the basis of a single scan. However, a subtle reduction in cognition over time was significantly related to CT changes, and occurred in 10%. Larger ventricles were also found in a small sub-group, who developed late-onset depressive disorders; recent bereavement was related to ventricular size. Thus a single CT scan may not be a useful discriminatory test in early dementia, but a repeat demonstrating ventricular enlargement, is likely to be significant. In the elderly, cognitive and CT scan deterioration should not be expected unless a disease process is occurring; this may be indicated by subtle cognitive impairment or by late-onset depressive disorder.

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