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Acute, Non-Traumatic Intracranial Hemorrhage — Diagnosis and Timing

  • Conference paper
Acute Non-Traumatic Intracranial Bleedings. Posterior Fossa Tumors in Infancy

Part of the book series: Advances in Neurosurgery ((NEURO,volume 11))

Abstract

Twenty-four university or hospital departments of neurosurgery took part in the cooperative study on acute, non-traumatic intracranial hemorrhage during the years 1978, 1979 and 1980. In three instances the data from two clinics with a common group of patients were combined. With the help of an extensive questionnaire, data were gathered on the causes of the hemorrhage, when and how the diagnosis and treatment was carried out, the patient’s condition on admission to hospital and to what extent his condition influenced the diagnostic procedure (computed tomography and angiography), the therapy and — where indicated — the time of the operation. A division into six grades of severity was made, using the International Cooperative Study on Timing of Aneurysm Surgery as a model:

  1. Grade I:

    No symptoms

  2. Grade II:

    Slight symptoms (headache, meningism, diplopia)

  3. Grade III:

    Neurological focal symptoms with full retention of consciousness

  4. Grade IV:

    Reduced consciousness, defensive reactions retained

  5. Grade V:

    Weak defensive reactions together with stable vital signs

  6. Grade VI:

    No reaction to shouting or shaking, no reaction to pain stimuli and increasing instability of vital signs.

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Authors and Affiliations

  1. Neurochirurgische Universitätsklinik Kiel, Weimarer Strasse 8, D-2300, Kiel 1, Germany

    F. Scheil & J. Hedderich

Authors
  1. F. Scheil
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  2. J. Hedderich
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Editor information

Editors and Affiliations

  1. Neurochirurgische Universitätsklinik Kiel, Weimarer Straße 8, D-2300, Kiel 1, Germany

    Hans-Peter Jensen

  2. Abteilung für Neurochirurgie, Neurochirurgische Klinik und Poliklinik, Universitätsklinikum Steglitz, Freie Universität Berlin, Hindenburgdamm 30, D-1000, Berlin 45, Germany

    Mario Brock

  3. Neurochirurgische Klinik, Universität Erlangen-Nürnberg, Schwabachanlage 6 (Kopfklinikum), D-8520, Erlangen, Germany

    Margareta Klinger

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© 1983 Springer-Verlag Berlin Heidelberg

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Scheil, F., Hedderich, J. (1983). Acute, Non-Traumatic Intracranial Hemorrhage — Diagnosis and Timing. In: Jensen, HP., Brock, M., Klinger, M. (eds) Acute Non-Traumatic Intracranial Bleedings. Posterior Fossa Tumors in Infancy. Advances in Neurosurgery, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05589-2_2

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  • DOI: https://doi.org/10.1007/978-3-662-05589-2_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-12538-9

  • Online ISBN: 978-3-662-05589-2

  • eBook Packages: Springer Book Archive

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