Head injuries
The leading cause of death in the population aged under 40 years. The main cause is falls, car accidents and assaults.
The main types of traumatic brain injury are skull fractures, brain contusion, dilaceration brain, diffuse axonal injury, extradural hematoma, subdural and intracerebral.
Skull fractures are the result of a severe head impact and can be accompanied by any of the injuries listed above.
Cerebral contusion trauma refers to an apparently minor, brief loss of consciousness accompanied.
CerebralaContuzie cerebralaContuzie cerebral contusion
Dilaceration cerebral brain damage caused by acceleration-deceleration mechanism. They are accompanied by damage to the brain parenchyma and regional blood effusion.
Some microscopic
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Subacute subdural hematoma of the left hemisphere with subacute subdural hematoma midline moving from right hemisphere
Chronic subdural hematoma constitutes slowly over a period of several weeks, sometimes months, following a minor trauma that may go unnoticed.
Chronic subdural hematoma chronic subdural hematoma
Extradural hematomas usually occur secondary fractures and blood collection is located between the skull and the outer skins covering the brain (dura).
Extradural hematoma extraduralHematom
Head trauma is associated with a high proportion of other organ trauma and limb therefore trauma patient must receive care and treatment in a specialized center capable of providing intensive care to critically ill patients and treatment appropriate surgical, orthopedic, thoracic surgery, plastic and reconstructive surgery, etc.
Treatment:
In case of loss of consciousness, the patient must first be stabilized in terms of breathing (airway), the blood circulation (stopping bleeding), then have stabilized neck (collar immobilization) and head. These maneuvers are usually at the crash site by trained personnel of salvation, before the patient to reach the
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The consciousness that affects the size and mass effect must be operated in order to decrease the intracranial pressure and prevent death.
Intraparenchymal hematoma posttraumatic
Patients with diffuse axonal injury is a problem unique in that traumatic damage is microscopic and not visible on CT scanning.
Diffuse axonal axonal injury difuzaInjurie
Patients with diffuse axonal injuries have stretched severe brain damage. The goal of treatment in these cases is to prevent other secondary intracranial lesions increased intracranial pressure and cerebral edema decrease. Intracranial pressure monitoring practice in patients with diffuse axonal injury and GCS under 8. Place the intracranial through a drill hole in the fiber optic catheter, which measures the pressure. Pressure measurement adjustments help correct treatment of cerebral edema. The existence of post traumatic increased intracranial pressure is a serious progrostic sign. Such patients often benefit from treatment with mannitol, deep sedation, hyperventilation or cerebrospinal fluid drainage by