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.
KeywordsDementia Tuberculosis Explosive Glucocorticoid Neurol
Unable to display preview. Download preview PDF.
- Guttmann L (1973) Spinal cord injuries. Oxford University Press, OxfordGoogle Scholar
- Holbourn A H S (1945) The mechanics of brain injuries. Br Med Bull 3: 147Google Scholar
- Jennett B (1962) Epilepsy after blunt head injuries. Heinemann, LondonGoogle Scholar
- Plum F, Posner J B (1972) The diagnosis of stupor and coma, 2nd edn. Davis, PhiladelphiaGoogle Scholar
- 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
- Strich S J (1976) Cerebral trauma. In: Blackwood W, Corsellis J A N (eds) Greenfield’s neuropathology. Arnold, London, p 327Google Scholar