The role of surgery for intracranial mass lesions after head injury

2005 ◽  
pp. 394-409
Keyword(s):  
Head Injury ◽  
Intracranial Mass ◽  
Mass Lesions

Flaccidity after Head Injury

Neurosurgery ◽  
1981 ◽  
Vol 9 (3) ◽  
pp. 242-248 ◽  
Author(s):  
John F. Butterworth ◽  
John B. Selhorst ◽  
Richard P. Greenberg ◽  
Douglas Miller ◽  
Steven K. Gudeman
Keyword(s):  
Head Injury ◽  
High Serum ◽  
Respiratory Complications ◽  
Intracranial Mass ◽  
Cord Injury ◽  
Head Injured ◽  
Spinal Subdural Hematoma ◽  
Mass Lesions ◽  
Injured Patients ◽  
Prompt Diagnosis

Abstract Upon admission, 17 of 223 (8%) consecutive patients with severe head injury exhibited a flaccid, wholly unresponsive motor examination. In this study alcoholic intoxication neither caused depressed motor responsiveness in head-injured patients with high serum ethanol levels nor accounted for the motor examination in those exhibiting the flaccid state. Flaccidity was attributed principally to impaired ventilation in 4 patients, a major intracranial mass in 12. and a spinal cord injury in 1. Compared to the larger group of head-injured patients, the flaccid patients had a significantly greater incidence of hypercapnia (P < 0.001), acidosis (P < 0.01), and both elevated and uncontrollable intracranial pressure (ICP) (P< 0.001). These findings and the high mortality rate (76%) in this study suggest that the magnitude of respiratory complications and the severity of mechanical brain injury are greater in flaccid patients. The flaccid patients undergoing surgical decompression for major intracranial mass lesions (11 cases) have all died and. although still small in number, this group may represent an important subset with a poor prognosis. Nonetheless, a protocol that encourages rapid radiological and electrophysiological assessment and vigorous surgical and ICP management until the probable cause of flaccidity is identified and treated has benefit. The flaccid state was reversed and a good recovery was attained after the restoration of blood pressure and/or ventilation in 2 patients who appeared to have sustained a very grave head injury. In another patient, absent somatosensory evoked potentials greatly facilitated the diagnosis of a spinal subdural hematoma. This program of prompt diagnosis and intense therapy did not result in a protracted course or undue numbers of severely braindamaged survivors.

The role of contralateral ventricular dilatation following surgery for intracranial mass lesions

1993 ◽  
Vol 7 (3) ◽  
pp. 281-286 ◽  
Author(s):  
Pradeep K. Narotam ◽  
James R. Van Dellen ◽  
Eleanor Gouws
Keyword(s):  
Ventricular Dilatation ◽  
Intracranial Mass ◽  
Mass Lesions

Cystic intracranial mass lesions: Possible role of in vivo MR spectroscopy in its differential diagnosis

1995 ◽  
Vol 13 (7) ◽  
pp. 1019-1029 ◽  
Author(s):  
Harish Poptani ◽  
Rakesh K. Gupta ◽  
Vijendera K. Jain ◽  
Raja Roy ◽  
Rakesh Pandey
Keyword(s):  
Differential Diagnosis ◽  
Mr Spectroscopy ◽  
Intracranial Mass ◽  
Mass Lesions

The Role of Speech-Language Pathology and Audiology in the Optimal Management of the Service Member Returning From Iraq or Afghanistan With a Blast-Related Head Injury

2010 ◽  
Vol 25 (3) ◽  
pp. 219-224 ◽  
Author(s):  
Leora R. Cherney ◽  
Patricia Gardner ◽  
Jeri A. Logemann ◽  
Lisa A. Newman ◽  
Therese OʼNeil-Pirozzi ◽  
...  
Keyword(s):  
Head Injury ◽  
Service Member ◽  
Optimal Management ◽  
Speech Language Pathology ◽  
Language Pathology

Role of subtemporal decompression in severe closed head injury

Neurosurgery ◽  
1988 ◽  
Vol 23 (4) ◽  
pp. 417???22 ◽  
Author(s):  
D J Gower ◽  
K S Lee ◽  
J M McWhorter
Keyword(s):  
Head Injury ◽  
Closed Head Injury ◽  
Closed Head
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