Cerebral Hemispheric Contusions and Lacerations

  • I. Oprescu
Part of the Advances in Neurotraumatology book series (NEUROTRAUMATOL., volume 3)


The limits, difficulties and some controversies in our understanding of the neuropathology of the injured brain have been competently discussed by a number of authors, and more recently by Strich (1969, 1970), Adams and Graham (1972), Adams (1975), Adams et al. (1977), Vigouroux and Guillermain (1981), Jennett and Teasdale (1981), Arseni and Oprescu (1972, 1984), Henn (1989).


Head Injury Cerebral Contusion Brain Contusion Craniocerebral Wound Microscopic Pathology 
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  1. 1.
    Adams JH (1975) The neuropathology of head injuries. In: Vinken PJ, Bruyn EW (eds) Handbook of clinical neurology, Vol 23, Part 1, Chap 3. North Holland Publ. Co., Amsterdam, pp 378–391Google Scholar
  2. 2.
    Adams JH, Graham DI (1972) The pathology of blunt head injuries. In: Critchley M, O’Leary J, Jennett B (eds) Scientific foundation of neurology. Heinemann, London, pp 478–491Google Scholar
  3. 3.
    Adams JH, Mitchell D, Graham DI, Doyle D (1977) Diffuse brain damage of immediate impact type. Brain 100: 389–402CrossRefGoogle Scholar
  4. 4.
    Adams JH, Scott G et al (1980) The contusion index. A quantitative approach to cerebral contusions in head injury. Neuropathol Appl Neurobiol 6: 319–324PubMedCrossRefGoogle Scholar
  5. 5.
    Adams RD (1969) In: Walker EA, Caveness WF, Critschley M (eds) The late effects of head injury. Ch C Thomas, Springfield, Ill.Google Scholar
  6. 6.
    Arseni C, Oprescu I (1972) Traumatologia cranio-cerebrala. Editura Medicala, BucurestiGoogle Scholar
  7. 7.
    Arseni C, Oprescu I (1977) The basis of a new classification of cranio-cerebral injuries. Seara Medica 6: 107–114Google Scholar
  8. 8.
    Arseni C, Oprescu I (1984) Neurotraumatologie. Editura Didactica si Pedagogica, BucurestiGoogle Scholar
  9. 9.
    Brandenburg W, Hallervorden J (1954) Dementia pugilistica mit anatomischem Befund. Virch Arch (A) 325: 680–709CrossRefGoogle Scholar
  10. 10.
    Cajal SR (1928) Degeneration and regeneration in the nervous system. Oxford University Press, LondonGoogle Scholar
  11. 11.
    Clark JM (1974) Distribution of microglial clusters in the brain after head injury. Neurosurg Psychiat 37: 463–474CrossRefGoogle Scholar
  12. 12.
    Columella F (1973) Traumatic brain laceration as a new and independent entity in neurosurgical pathology. Neurocirugia (Chile) XXXI, 1–2: 9–26Google Scholar
  13. 13.
    Corselis JAN, Burton CJ, Freeman-Browne D (1973) The aftermath of boxing. Psychol Med 3: 270–303CrossRefGoogle Scholar
  14. 14.
    Da Pian R et al (1967) Lacerationi cerebrali traumatische. Considerazioni su 190 casi operati. Minerva Neurochir 11: 147–153PubMedGoogle Scholar
  15. 15.
    Graham H, Ule G (1957) Beitrag zur Kenntnis der chronischen und cerebralen Krankheitsbilder bei Boxern (Dementia pugilistica und traumatische Boxerencephalopathie). Psychiat Neurol (Basel) 134: 261–283CrossRefGoogle Scholar
  16. 16.
    Henn R (1989) Traumatische Veränderungen. In: Cervós-Navarro J, Ferszt R (eds) Klinische Neuropathologie. Thieme, Stuttgart New YorkGoogle Scholar
  17. 17.
    Hesselmann J, Zülch KJ (1967) Vegetative und endokrine Symptome nach traumatischer Hypothalamusschädigung. Acta Neurovegetat (Wien) 30: 251–260CrossRefGoogle Scholar
  18. 18.
    Jellinger K, Seitelberger G (1970) Protracted posttraumatic encephalopathy: pathology, pathogenesis and clinical implications. J Neurol Sci 10: 51–94PubMedCrossRefGoogle Scholar
  19. 19.
    Jennett I, Teasdale B (1981) Management of head injuries. F.R. Davis Company, PhiladelphiaGoogle Scholar
  20. 20.
    McLaurin RL, Helmer F (1965) The syndrome of temporal lobe contusion J Neurosurg 23: 195–304Google Scholar
  21. 21.
    Nakamura N (1990) Diffuse brain injury and brainstem dysfunction. In this volumeGoogle Scholar
  22. 22.
    Nevin NC (1967) Neuropathological changes in the white matter following head injuries. J Neuropathol Exp Neurol 26: 77–84PubMedCrossRefGoogle Scholar
  23. 23.
    Ommaya KA, Gennarelli AT (1975) Experimental head injury. In: Vinken PJ, Bruyn EW (eds) Handbook of clinical neurology, Vol 23, Chap 4. North Holland Publ. Co., Amsterdam, pp 67–90Google Scholar
  24. 24.
    Ommaya KA, Grubb RL, Nauman RA (1971) Coup and contre-coup injury: observations on the mechanics of visible brain injuries in the rhesus monkey. J Neurosurg 35: 503–536PubMedCrossRefGoogle Scholar
  25. 25.
    Oppenheimer DR (1968) Microscopic lesions in the brain following head injury. J Neurol Neurosurg Psychiatry 31: 299–306PubMedCrossRefGoogle Scholar
  26. 26.
    Payne EE (1968) Brain of boxers. Neurochirurgia (Stuttgart) 11: 173–188Google Scholar
  27. 27.
    Rand CW, Courville BC (1945) Alterations of the myelin sheats adjacent to traumatic lesions of the brain. Bull Los Angeles Neurol Soc 10: 19–34Google Scholar
  28. 28.
    Rand CW, Courville BC (1946) Histologic changes in the brain in cases of fatal injury of the head VII. Alterations in nerve cells. Arch Neurol Psychiat (Chicago) 55: 79–110Google Scholar
  29. 29.
    Rusu M (1972) La dilacération meningo-cérébrale traumatique localisée. Neurochirurgia (Stuttgart) 15: 209–217Google Scholar
  30. 30.
    Scheinker IM (1944) Vasoparalysis of the central nervous system, a characteristic vascular syndrome. Significance in the pathology of the central nervous system. Arch Neurol Psychiat (Chicago) 12: 32–43Google Scholar
  31. 31.
    Scheinker IM (1947) Cerebral swelling. Histopathology, classification and clinical significance of brain edema. J Neurosurg 4: 255–258PubMedCrossRefGoogle Scholar
  32. 32.
    Scheinker IM (1945) Vasothrombosis in the central nervous system. A characteristic vascular syndrome caused by a prolonged state of vasoparalysis. Arch Neurol Psychiat (Chicago) 53: 171–184Google Scholar
  33. 33.
    Strich SJ (1956) Diffuse degeneration of the cerebral white matter in severe dementia following head injury. J Neurol Neurosurg Psychiatry 19: 163–185PubMedCrossRefGoogle Scholar
  34. 34.
    Strich SJ (1961) Shearing of nerve fibers as a cause of brain damage due to head injury. Lancet ii: 443–448CrossRefGoogle Scholar
  35. 35.
    Strich SJ (1969) The pathology of brain damage due to blunt head injury. In: Walker AE, Caveness WF, Critchley M (eds) The late effects of head injuries. Ch C Thomas, Springfield, IllGoogle Scholar
  36. 36.
    Strich SJ (1970) Lesions in the cerebral hemispheres after blunt head injury. J Clin Pathol 23 [Suppl 4]: 154–165Google Scholar
  37. 37.
    Testa C, Bollini C, Columella F (1970) Cerebral capillaries in the evolution of traumatic lacerations in man: an ultrastructural study. Folia Angiographica 96: 83–89Google Scholar
  38. 38.
    Unterharnscheidt F (1975) Injuries due to boxing and other sports. In: Vinken PJ, Bruyn EW (eds) Handbook of clinical neurology, Vol 23, Part I, Chap 26. North Holland Publ. Co., Amsterdam, pp 527–593Google Scholar
  39. 39.
    Unterharnscheidt F, Sellier K (1966) Mechanics and pathomorphology of closed head injuries. In: Caveness FW, Walker EA (eds) Head Injury Conference Proceedings. Lippincott, Philadelphia, pp 321–341Google Scholar
  40. 40.
    Vigouroux PR, Guillermain P (1981) Posttraumatic hemispheric contusions and lacerations. In: Krayenbühl H et al (eds) Progress in neurological surgery. S Karger, Basel, pp 49–163Google Scholar
  41. 41.
    Walker EA, Caveness FW, Crichley M (eds) (1969) The late effects of head injury. Ch C Thomas, Springfield, IllGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1991

Authors and Affiliations

  • I. Oprescu
    • 1
  1. 1.Neurosurgical ClinicHospital G. MarinescuBucharestRomania

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