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AuthorKakarieka, Algirdas. author
TitleTraumatic Subarachnoid Haemorrhage [electronic resource] / by Algirdas Kakarieka
ImprintBerlin, Heidelberg : Springer Berlin Heidelberg, 1997
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Descript XII, 109p. 12 illus. online resource


This monograph highlights the clinical significance of traumatic subarachnoid haemorrhage on CT scan after head injury, a subject which has received little attention until recently. The diagnosis, clinical aspects, prognosis, and therapy are discussed for patients with traumatic subarachnoid haemorrhage


Survey of the Literature -- Pathology -- Incidence -- Relation to Age -- Relation to Alcohol Intoxication -- Prognosis -- Vasospasm and Ischaemic Neurological Deficits After tSAH -- Summary -- Patient Characteristics and Methodology -- Patient Population -- Variables Recorded -- Laboratory Evaluation -- Treatment of Patients -- CT Evaluation -- Criteria for Assessment of Amount of Blood on CT -- Criteria for Classification of the Mechanism of Injury -- Criteria for Defining Severity of Head Injury on Entry to the Trial -- Criteria for Assessment of Outcome -- Biometric Methods -- Summary -- Analysis of CT Findings in tSAH -- Frequency -- Time of CT -- Amount of Blood -- Clearance of tSAH -- Topographic Location of Blood -- Associated CT Findings -- Contusions -- Subdural Haematoma -- Epidural Haematoma -- Intracerebral Haematoma -- Intraventricular Blood -- Signs of Raised ICP on CT -- Hypodensity Compatible with Ischaemia -- Summary -- Demographic and Clinical Aspects of tSAH -- Age -- Sex -- Cause of Injury -- Alcohol Intake Before Injury -- Multiple Injuries -- Interval Between Injury and Admission -- Severity of Head Injury on Entry to the Trial -- Plain Skull X-Rays -- Craniotomy for Removal of Mass Lesions -- Intracranial Pressure Monitoring -- Haemodynamics -- Neurological Status -- Body Temperature -- Mortality -- Summary -- Outcome in tSAH -- Outcome in tSAH -- Amount of Blood and Outcome -- Fisherโ{128}{153}s Categories and Outcome -- Location of Blood and Outcome -- Associated CT Lesions and Outcome -- Relationship of Various Demographic and Clinical Aspects to Outcome -- Functional Assessment -- Post-traumatic Epilepsy -- Summary -- tSAH as a Prognostic Factor -- Risk of Unfavourable Outcome in tSAH Patients -- Determination of Prognostic Factors -- Summary -- Clinical Laboratory Evaluation in tSAH -- Haematocrit -- Leucocytes -- Platelets -- Serum Aminotransferases -- Serum Lipase -- Serum Amylase -- Summary -- Therapeutic Prospects of tSAH with the Calcium Antagonist Nimodipine -- Pharmacological and Clinical Rational for the Use of the Calcium Antagonist Nimodipine in Head Injury -- The Effect of Nimodipine in the Overall Head-Injury Study Population -- The Effect of Nimodipine on tSAH -- Adverse Events -- Summary -- Confirmation of the Hypothesis: The German tSAH Study -- Patient Population -- Treatment with the Test Drug -- Statistical Analysis -- Demographic Results -- CT Findings -- Transcranial Doppler Blood Flow Velocities -- Blood Pressure and ICP -- Follow-Up Investigation -- Post-traumatic Epilepsy -- Pool Analysis of 460 tSAH Patients -- Summary -- Discussion and Conclusions -- tSAH, a Frequent Finding in Head Injury -- tSAH: CT Aspects -- tSAH: Clinical Aspects -- tSAH and Outcome -- tSAH and Vasospasm -- tSAH and Post-traumatic Epilepsy -- tSAH as a Prognostic Factor -- tSAH and Its Treatment with Nimodipine -- References

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