Trauma to the Nervous System

  • Roy O. Weller
  • Michael Swash
  • D. Lindsay McLellan
  • Carl L. Scholtz

Abstract

In the management of head injury the clinician must be aware of when and why complications occur. Although little can be done to modify the primary brain damage occurring at the time of the injury, much can be done to minimise the effects of cerebral oedema, raised intracranial pressure and brain shift which may complicate a head injury. It is not only that the life of the patient may be in danger, but disability can also be minimised by limiting the extent of damage to the brain. The role of the pathologist in the management of head injuries is to examine the clinical history and the brain of those patients who die with head injuries and to advise the clinician on the course of events and the complications which have resulted in the patient’s death. It is only in this way that the clinician becomes aware of crucial aspects in the management of head injuries.

Keywords

Dementia Tuberculosis Explosive Glucocorticoid Neurol 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Further reading

  1. Adams J H, Graham D I, Scott G, Parker L S, Doyle D (1980) Brain damage in fatal non-missile head injury. J Clin Pathol 33: 1132PubMedCrossRefGoogle Scholar
  2. Freytag E (1963) Autopsy findings in head injuries from blunt forces: statistical evaluation of 1367 cases. Arch Pathol 75: 402PubMedGoogle Scholar
  3. Freytag E (1963) Autopsy findings in head injuries from firearms: statistical evaluation of 254 cases. Arch Pathol 76: 215PubMedGoogle Scholar
  4. Graham D I, Adams J H (1971) Ischaemic brain damage in fatal head injuries. Lancet i: 265CrossRefGoogle Scholar
  5. Guttmann L (1973) Spinal cord injuries. Oxford University Press, OxfordGoogle Scholar
  6. Holbourn A H S (1945) The mechanics of brain injuries. Br Med Bull 3: 147Google Scholar
  7. Jennett B (1962) Epilepsy after blunt head injuries. Heinemann, LondonGoogle Scholar
  8. Jennett B, Bond M (1975) Assessment of outcome after severe brain damage: a practical scale. Lancet i: 480CrossRefGoogle Scholar
  9. Jennett B, Teasdale G, Braakman R et al. (1979) Prognosis of patients with severe head injury. J Neurosurg 4: 283CrossRefGoogle Scholar
  10. Klatzo I (1967) Neuropathological aspects of brain oedema. J Neuropathol Exp Neurol 26: 1PubMedCrossRefGoogle Scholar
  11. Plum F, Posner J B (1972) The diagnosis of stupor and coma, 2nd edn. Davis, PhiladelphiaGoogle Scholar
  12. Strich S J (1961) Shearing of nerve fibres as a cause of brain damage due to head injury: a study of 20 cases. Lancet ii: 433Google Scholar
  13. Strich S J (1976) Cerebral trauma. In: Blackwood W, Corsellis J A N (eds) Greenfield’s neuropathology. Arnold, London, p 327Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1983

Authors and Affiliations

  • Roy O. Weller
    • 1
    • 2
  • Michael Swash
    • 3
    • 4
  • D. Lindsay McLellan
    • 1
    • 2
  • Carl L. Scholtz
    • 5
    • 6
  1. 1.University of SouthamptonEngland
  2. 2.Wessex Regional Neurological CentreSouthamptonEngland
  3. 3.The London Hospital and St Mark’s HospitalLondonEngland
  4. 4.the London Hospital Medical CollegeLondonEngland
  5. 5.The London Hospital Medical CollegeEngland
  6. 6.The London HospitalLondonEngland

Personalised recommendations