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Chirurgie upgrade 2004 pp 100–113Cite as

Schädel-Hirn-Trauma

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Zusammenfassung

Unter einem Schädel-Hirn-Trauma versteht man eine vorübergehende oder dauerhafte Schädigung des Gehirns als Folge der Einwirkung eines stumpfen oder penetrierenden Traumas. In der klinischen Untersuchung wirken sich traumatische Einwirkungen im Sinne einer reversiblen oder dauerhaften Funktionsstörung des Gehirns aus. Das Trauma kann morphologisch sowohl nicht nachweisbare als auch sichtbare Veränderungen zur Folge haben, die primär mit einer Computertomographie dargestellt werden.

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Literatur

  1. American College of Surgeons Committee on Trauma (1993) Resources for optimal care of the injured patient. Library of Congress, Chicago

    Google Scholar 

  2. Aldrich EF (1991) Surgical management of traumatic intracerebral hematomas. Neurosurg Clin North Am 2:373–385

    CAS  Google Scholar 

  3. Brain Trauma Foundation (2000) The Brain Trauma Foundation.The American Association of Neurological Surgeons.The Joint Section on Neurotrauma and Critical Care. Glasgow coma scale score. J Neurotrauma 17:563–571

    Article  Google Scholar 

  4. Brinker T, Seifert V, Stolke D (1990) Acute changes in the dynamics of the cerebrospinal fluid system during experimental subarachnoid hemorrhage. Neurosurgery 27:369–372

    Article  PubMed  CAS  Google Scholar 

  5. Bullock R, Chesnut RM, Clifton G et al. (1996) Guidelines for the management of severe head injury. J Neurosurg 13:639–734

    Google Scholar 

  6. Chesnut RM, Klarshall LF, Klauber MR (1993) The role of secondary brain injury in determining outcome from severe head injury. J Trauma 34:216–222

    Article  PubMed  CAS  Google Scholar 

  7. Choi PT, Yip G, Quinonez LG, Cook DJ (1999) Crystalloids vs. colloids in fluid resuscitation: a systematic review. Crit Care Med 27:200–210

    Article  PubMed  CAS  Google Scholar 

  8. Committe on Injury Scaling (1990) Abbreviated Injury Scale 1990 Revision. Association for the Advancement of Automovement Medicine. Des Plaines, Illinois

    Google Scholar 

  9. Courville CB (1962) Traumatic intracerebral hemorhages.With special reference to the mechanisms of their production. Bulletin Los Angeles Neurol Soc 27:22–38

    CAS  Google Scholar 

  10. Cohen JE, Montera A, Israel Z (1996) Prognosis and clinical relevance of anisocoria-craniotomy latency for epidural hematoma in comatose patients. J Trauma 41:120–122

    Article  PubMed  CAS  Google Scholar 

  11. Eisenberg HM, Frankowski RF, Contant CF (1988) High-dose barbiturate control of elevated intracranial pressure in patients with severe head injury. J Neurosurg 69:15–23

    Article  PubMed  CAS  Google Scholar 

  12. Frohwein RA, Keila M (1972) Einteilung der traumatischen subduralen Hämatome. Aktuel Traumatol 4:205–213

    Google Scholar 

  13. Gaab MR, Rittierodt M, Lorenz M et al. (1990) Traumatic brain swelling and operative decompression: a prospective investigation. Acta Neurochir [Suppl] 51:326–328

    CAS  Google Scholar 

  14. Gudeman S, Kishare P, Miller J (1979) The genesis and significance of delayed traumatic intracerebral hematoma. Neurosurgery 5:309–313

    Article  PubMed  CAS  Google Scholar 

  15. Haselberger K, Pucher R, Auer LM (1988) Prognosis after acute subdural or epidural haemorrhage. Acta Neurochir (Wien) 90:111–116

    Article  Google Scholar 

  16. Hawkins ML, Lewis FD,Medeiros RS (1996) Serious traumatic brain injury: an evaluation of functional outcomes. J Trauma 41:257–263

    Article  PubMed  CAS  Google Scholar 

  17. Hemmer R (1965) Über atypische epidurale Blutungen und die Ursache ihrer Fehldeutungen. Dtsch Med Wochenschr 90:1945–1948

    Article  PubMed  CAS  Google Scholar 

  18. Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet 1:480–484

    Article  PubMed  CAS  Google Scholar 

  19. Lehmann U, Rickels E, Krettek C (2001) Polytrauma mit Schädel-Hirn-Trauma. Primär definitive operative Versorgung der langen Röhrenknochen? Unfallchirurg 104:196–209

    Article  PubMed  CAS  Google Scholar 

  20. Maas Al, Dearden M, Jeasdale GM et al. (1997) EBIC-Guidelines for management of severe Head injury in adults. European Brain Injuy Consortium. Acta Neurochir 139:286–294

    Article  CAS  Google Scholar 

  21. Marmarmrou A, Anderson RL, Ward JD (1991) Impact of ICP instability and hypotension on outcome in patients severe head trauma. J Neurosurg 75:59–66

    Google Scholar 

  22. Marshall LF, Smith RW, Shapiro HM (1979) The outcome with agressive treatment in severe head injuries. Part I: The significance of in-tracranial pressure monitoring. J Neurosurg 50:20–25

    Article  PubMed  CAS  Google Scholar 

  23. Massaro F, Lanotte M, Faccani G, Triolo C (1996) One hundred and twenty seven cases of acute subdural haematoma operated on — correlation between CT scan findings and outcome. Acta Neurochir 138:185–191

    Article  CAS  Google Scholar 

  24. Marion DW, Obrist WD, Carlier PM (1993) The use of therapeutic hypothermia for patients with severe head injuries: a preliminary report. J Neurosurg 79:354–362

    Article  PubMed  CAS  Google Scholar 

  25. Mendelow AD, Teasdale GM, Russell T et al. (1985) Effect of mannitol on cerebral blood flow and cerebral perfusion pressure in human head injury. J Neurosurg 63:43–48

    Article  PubMed  CAS  Google Scholar 

  26. Miller JD (1993) Head injury. J Neurol Neurosurg Psychiat 56:440–447

    Article  PubMed  CAS  Google Scholar 

  27. Muizellaar JP, Marmarou A, Ward JD (1991) Adverse effects of prolonged hyperventilation in patients with severe head injury: a randomized clinical trial. J Neurosurg 75:731–739

    Article  Google Scholar 

  28. Murr R, Schürer L, Baethmann A (1992) Acute management of severe head injury. Curr Opin Anaesthesiol 5:285–285

    Article  Google Scholar 

  29. Narayan RK, Kishore PR, Becker DP (1982) In-tracranial pressure: to monitor or not to monitor: a review of our experience with severe head injury. J Neurosurg 56:650–659

    Article  PubMed  CAS  Google Scholar 

  30. Nast-Kolb D, Waydhas C, Kanz KG, Schweiberer L (1994) Algorithmus für das Schockraummanagement beim Polytrauma. Unfallchirurg 97:292–302

    PubMed  CAS  Google Scholar 

  31. Neugebauer E, Hensler T, Rose S et al. (2000) Das schwere Schädel-Hirn-Trauma beim schwerverletzten Mehrfachverletzten. Eine Bestandsaufnahme zur Interaktion lokaler und systemischer Mediatorwirkungen. Unfallchirurg 103:122–131

    Article  PubMed  CAS  Google Scholar 

  32. Piek J, Jantzen JP (2000) Empfehlungen zur Erstversorgung des Patienten mit SchädelHirn-Trauma bei Mehrfachverletzung. Notfall Rettungsmed 3:32–37

    Article  Google Scholar 

  33. Polin RS, Mark ES, Bogaev CA et al. (1997) Decompressive bifrontal craniectomy in the treatment of svere refractory posttraumatic cerebral edema. Neurosurgery 41:84–94

    Article  PubMed  CAS  Google Scholar 

  34. Rivano C, Barzone M,Carta F (1980) Traumatic intracerebral hematomas. Seventy-two cases surgically treated. J Neurosurg Sci 24:77–84

    PubMed  CAS  Google Scholar 

  35. Rosner MJ, Coley I (1987) Cerebral perfusion pressure: a heamodynamic mechanism of mannitol and the pre mannitol hemogram. Neurosurgery 21:147–156

    Article  PubMed  CAS  Google Scholar 

  36. Rosner MJ, Daughton S (1990) Cerebral perfusion pressure management in head injury. J Trauma 30:933–941

    Article  PubMed  CAS  Google Scholar 

  37. Ruchholtz S, Nast-Kolb D, Waydhas C, Schweiberer L (1996) Das Verletzungsmuster beim Polyrauma — Stellenwert der Information über den Unfallhergang zum Zeitpunkt der klinischen Akutversorgung. Unfallchirurg 99:633–641

    Article  PubMed  CAS  Google Scholar 

  38. Ruchholtz S, Waydhas C, Müller A et al. (1998) Percutaneous computer tomography controlled ventriculostomy in severe traumatic brain injury J Trauma 45:505–511

    Article  PubMed  CAS  Google Scholar 

  39. Ruchholtz S, Waydhas C, Nast-Kolb D (2000) Initial resuscitation and care of injured patients in the field, during transport, and in the emergency departement. In: Baue AE, Faist E, Fry D (eds) Multiple organ failure. Pathophysiology, prevention and therapy. Springer, Berlin, Heidelberg New York Tokyo

    Google Scholar 

  40. Ruchholtz S, AG-Polytrauma (2000) Das Traumaregister der Deutschen Gesellschaft für Unfallchirurgie als Grundlage des interklinischen Qualitätsmanagements in der Schwerverletztenversorgung. Unfallchirurg 103:30–37

    Article  PubMed  CAS  Google Scholar 

  41. Ruchholtz S, Waydhas C, Aufmkolk M, Täger G, Piepenbrink K, Stolke D, Nast-Kolb D(2001) Validierung eines interdisziplinären Qualitätsmanagementsystems für den diagnostischen und therapeutischen Ablauf der frühen klinischen Behandlung schwerverletzter Patienten. Unfallchirurg 104:927–937

    Article  PubMed  CAS  Google Scholar 

  42. Ruchholtz S, Waydhas C, Schroeder T, Piepenbrink K, Kühl H, Nast-Kolb D (2002) Der Stellenwert der Computertomographie in der frühen klinischen Behandlung schwerverletzter Patienten. Chirurg (im Druck)

    Google Scholar 

  43. Schwartz ML, Tator CH, Rowed DW (1984) The university of Toronto head injury study: a prospectve randomized comparison of pento-barbital and mannitol. Can J Neurol Sci 11:434–440

    PubMed  CAS  Google Scholar 

  44. Schwartz ML, Sharkey PW, Anderson JA (1991) Quality assurance for patients with head injuries admitted to a regional trauma unit. J Trauma 31:962–967

    Article  PubMed  CAS  Google Scholar 

  45. Schweiberer L, Ruchholtz S, Pajonk FG, Waydhas C, Schneider I, Gürtner I, Nast-Kolb D (1996) Chancen und Grenzen der Intensivmedizin aus der Sicht der Traumatologie — Spezielle Aspekte zu Indikationen und Limitationen. Intensivmedizin 33:51–59

    Google Scholar 

  46. Seelig JM, Becker DP, Miller JD et al. (1981) Traumatic acute subdural hematoma — major mortality reduction in comatose patients treated within four hours. N Engl J Med 304:1511–1518

    Article  PubMed  CAS  Google Scholar 

  47. Seelig JM, Marshall LF, Toutant SM, Toole BM, Klauber MR, Bowe SA, Varnell JA (1984) Traumatic acute epidural hematoma: unrcognized high lehthality in comatose patients. Neurosurgery 15:617–620

    Article  PubMed  CAS  Google Scholar 

  48. Soloniuk D, Pitts LH, Lovley M, Bartkowski H (1986) Traumatic intracerebral hematomas: timing of appearance and indications for operative removal. J Trauma 26:787–794

    Article  PubMed  CAS  Google Scholar 

  49. Stein SC, Ross SE (1992) Modertae head injury: a guide to initial management. J Neurosurg 77:562–564

    Article  PubMed  CAS  Google Scholar 

  50. Stiell IG, Wells GA, Vandemheen K et al. (2001) The Canadian CT head rule study for patients with minor head injury. Lancet 5:1391–1396

    Article  Google Scholar 

  51. Teasdale G, Jennet B (1974) Assessment of coma and impared consciousness. A practical scale. Lancet 18:81–84

    Article  Google Scholar 

  52. Vassar MJ, Holcroft JW (1992) Use of hypertonic-hyperoncotic fluids for resuscitations of trauma patients. J Intensiv Care Med 7:189–198

    Google Scholar 

  53. Volles E (1996) Die Subarachnoidalblutung — ein akuter Notfall. Rettungsdienst 19:22–29

    Google Scholar 

  54. Wade CE, Kramer GC, Grady JJ, Fabian TC, Younes RN (1997) Efficacy of hypertonic 7,5% saline and 6% dextran-70 in treating trauma: a meta-analysis of controlled clinical studies. Surgery 122:609–616

    Article  PubMed  CAS  Google Scholar 

  55. Wilberger JE, Harris M, Diamond DL (1991) Acute subdural hematoma: morbidity, mortality and operative timing. J Neurosurg 74:212–218

    Article  PubMed  Google Scholar 

  56. Winchell RJ, Hoyt DB (1997) Endotracheal intubation in the field improves survival in patients with severe head injury. Arch Surg 132:592–597

    Article  PubMed  CAS  Google Scholar 

  57. Zimmermann RA, Bilianiuk LT (1978) Compu-tertomography of traumatic intracerebral hemorrhagic lesions: the change in densitiy and mass effect with time. Neuroradiology 16:320–321

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Unfallchirurgie, Universitätsklinikum Essen, Hufelandstraße 55, 45122, Essen

    S. Ruchholtz & D. Nast-Kolb

Authors
  1. S. Ruchholtz
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  2. D. Nast-Kolb
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Editor information

Editors and Affiliations

  1. Berufsverband der Deutschen Chirurgen e.V., Luisenstraße 58/59, 10117, Berlin, Deutschland

    J. Bauch

  2. Klinik für Allgemeine Chirurgie, Unfall- und Gefäßchirurgie Alfried-Krupp von Bohlen und Halbach Krankenhaus, Alfried- Krupp-Straße 21, 45119, Essen-Rüttenscheid, Deutschland

    M. Betzler

  3. Klinik für Unfall- und Wiederherstellungschirurgie Henriettenstiftung Hannover, Marienstraße 72-90, 30171, Hannover, Deutschland

    P. Lobenhoffer

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Ruchholtz, S., Nast-Kolb, D. (2004). Schädel-Hirn-Trauma. In: Bauch, J., Betzler, M., Lobenhoffer, P. (eds) Chirurgie upgrade 2004. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18546-5_9

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  • DOI: https://doi.org/10.1007/978-3-642-18546-5_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20007-9

  • Online ISBN: 978-3-642-18546-5

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