Cerebral Contusions and Lacerations a Clinical Study

  • R. P. Vigouroux
  • P. Guillermain
  • P. Rabehanta
Part of the Advances in Neurotraumatology book series (NEUROTRAUMATOL., volume 3)


Before presenting this study, a few preliminary remarks should be made.

When reference is made to the literature, it appears difficult to give a precise clinical definition of traumatic cerebral lesions, and particularly cerebral contusions-lacerations. The classical distinctions between cerebral commotion, contusion and compression has been modified by numerous authors. Some authors take into account the gravity of the clinical state (Bues and Stewart 1947), or the evolution with time (Fasano 1973; Gruner et al. 1965), or the mechanism of production of the lesions (Gurdjian et al. 1958)


Evolutive Form Intracerebral Hematoma Cerebral Contusion Pyramidal Syndrome Unilateral Mydriasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Basauri L, Rocamora RJ (1968) Traumatismo encefalo craneano. Revision de 500 casos. Neurocirugia 26: 154PubMedGoogle Scholar
  2. 2.
    Basauri L, Palma A, Henriquez C (1973) Traumatic temporal lobe syndrome. 5th Int Congr of Neurological Surgery, Tokyo 1973, vol 7, p 13Google Scholar
  3. 3.
    Botterel EH, Stewart W (1947) Disruption of temporal or frontal lobe as a cause of secondary coma following head injury. Harvey Cushing SocietyGoogle Scholar
  4. 4.
    Bues E, Schmidt H (1961) Neurologisches Bild der frischen gedeckten traumatischen Hirnschäden. Bruns-Beitr Klin Chir 203–265Google Scholar
  5. 5.
    Casella E, Chiapetta F, Chiasserini A, Gazzeri G (1967) Considerazioni clinico-statistiche su 150 casi di lacerazione cerebrale. Minerva neurochir 11: 154PubMedGoogle Scholar
  6. 6.
    Cohadon F, Richer E, Castel JP et al (1973) Aspects cliniques et angiographiques des lésions parenchymateuses fronto-temporales d’origine traumatique. Neuro-Chirurgie 19: 417PubMedGoogle Scholar
  7. 7.
    Columella S (1973) Traumatic brain laceration has a new and independent nosological entity of neuro-surgical pathology. Neurocirugia 31: 9Google Scholar
  8. 8.
    Da Pian R, Dalle Ore B, Bricolo A et al (1967) Lacerazioni cerebrali traumatiche. Considerazioni su 190 casi operati. Minerva neurochir 11: 147PubMedGoogle Scholar
  9. 9.
    Fasano VA (1973b) Aspects anatomo-cliniques des hématomes sous-duraux et des attritions cérébrales post-traumatiques. Neuro-Chirurgie 19: 430PubMedGoogle Scholar
  10. 10.
    Feld M, Daum S, Minuit P (1955) La contusion-hémorrhagie du lobe temporal dans les traumatismes crânio-cérébraux fermés. Indications opératoires. Neuro-Chirurgie 1: 333PubMedGoogle Scholar
  11. 11.
    Geuna E, Pagni CA, Caneschi S (1967b) Studio di 135 casi di focolai lacero contusivi edematomi intra-cerebrali traumatici trattati chirurgicamente negli anni 1960–1966. Minerva neurochir 11: 127PubMedGoogle Scholar
  12. 12.
    Gruner V, Krenn J, Kutscha et al (1965) Quelques sonnées sur le pronostic des contusions cérébrales. Neuro-Chirurgie 15,4: 275Google Scholar
  13. 13.
    Guillermain P (1970) Les lésions cortico-sous-corticales localisées au cours des traumatismes crâniens fermés récents (à propos de 234 observations). Thèse Médecine, MarseilleGoogle Scholar
  14. 14.
    Gurdjian ES, Webster JE, Lissner H (1958) Mechanism of scalp and skull injuries; concussion, contusion and laceration. J Neurosurg 15: 125PubMedCrossRefGoogle Scholar
  15. 15.
    Houdart R, Cophignon J, Hurth M et al (1968) Les traumatismes crâniocérébraux. E.M.C. Neurologie 17585 A 10Google Scholar
  16. 16.
    Lazorthes G (1973) Hématome sous-dural aigu et attrition cérébrale post-traumatiques. Table Ronde, Neuro-Chirurgie, 19, 5: 415–490Google Scholar
  17. 17.
    Liguori R, Troisi F (1966) Focolai cerebrali traumatici lacero-contusivo-emorragici chiusi. Rass int Clin Terap 47: 3Google Scholar
  18. 18.
    MacLaurin R, Helmer F (1965) The syndrome of temporal lobe contusion. J Neurosurg 23: 296–303CrossRefGoogle Scholar
  19. 19.
    Obrador S, Gomez J, Garcia M (1968) Contuson destructiva y edematosa del lobulo temporal en los traumas craneales cerrados. Revta esp.O.N.O. Neurocirugia 25: 39Google Scholar
  20. 20.
    Pierron D, Georges B, Ouahes O et al (1981) Tomodensitométrie et hématomes intra-crâniens posttraumatiques sans manifestation clinique. Neurochirurgie 27: 213–216PubMedGoogle Scholar
  21. 21.
    Rusu M Localized traumatic meningo-cerebral injury (1972) Neurochirurgia 6: 209Google Scholar
  22. 22.
    Schisano G, Schonnauer M, Cimino R et al (1975) Space occupying contusions of cerebral lobes after closed brain trauma. 6th Int Congr of Neurological Surgery, Sao-Paulo, vol 6, p 77Google Scholar
  23. 23.
    Schneider RC (1966) Serious and fatal neurosurgical football. Clin Neurosurg 12: 226Google Scholar
  24. 24.
    Stender A, Schulze A (1966) The surgical treatment of space-occupying contusions and intra-cerebral hematomas after blunt cerebral trauma. Excerpta Med Int Congr Ser, No 110, p 231Google Scholar
  25. 25.
    Teasdale G, Galbraith S (1981) Acute traumatic intracranial hematomas. Prog Neurol Surg, vol 10. Karger, Basel, pp 252–290Google Scholar
  26. 26.
    Tönnis W, Friedmann G, Schmidt-Wittkamp E et al (1965) Les hématomes intra-crâniens traumatiques. Geigy, BaselGoogle Scholar
  27. 27.
    Vigouroux RP, Guillermain P (1981) Posttraumatic hemispheric contusion and laceration. Prog Neurol Surg, vol 10. Karger, Basel, pp 49–163Google Scholar
  28. 28.
    Vigouroux RP, Baurand C, Guillermain P et al (1982) Traumatismes crânio-encéphaliques. E.M.C. Paris, Neurologie 17585 A 10, A 15, A 20, 10Google Scholar
  29. 29.
    Vigouroux RP, Guillermain P (1983) Surgical indication in post-trauma brain contusion and laceration. Advances in Neurotrauma. Excerpta Medica Int Congr Ser 612: 128–134Google Scholar
  30. 30.
    Vigouroux RP, Guillermain P (1986) Classifications en traumatologie crânio-cérébrale grave. Le coma traumatique. Liviana Press, Padova, pp 7–64Google Scholar

Copyright information

© Springer-Verlag/Wien 1991

Authors and Affiliations

  • R. P. Vigouroux
    • 1
  • P. Guillermain
    • 1
  • P. Rabehanta
    • 1
  1. 1.MarseilleFrance

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