Deep intracerebral (basal ganglia) haematomas in fatal non-missile head injury in man
Deep intracerebral (basal ganglia) haematomas were found post mortem in 63 of 635 fatal non-missile head injuries. In patients with a basal ganglia haematoma, contusions were more severe, there was a reduced incidence of a lucid interval, and there was an increased incidence of road traffic accident...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1986-09, Vol.49 (9), p.1039-1043 |
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| container_title | Journal of neurology, neurosurgery and psychiatry |
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| creator | Adams, J H Doyle, D Graham, D I Lawrence, A E McLellan, D R |
| description | Deep intracerebral (basal ganglia) haematomas were found post mortem in 63 of 635 fatal non-missile head injuries. In patients with a basal ganglia haematoma, contusions were more severe, there was a reduced incidence of a lucid interval, and there was an increased incidence of road traffic accidents, gliding contusions and diffuse axonal injury than in patients without this type of haematoma. Intracranial haematoma is usually thought to be a secondary event, that is a complication of the original injury, but these results suggest that a deep intracerebral haematoma is a primary event. If a deep intracerebral haematoma is identified on an early CT scan it is likely that the patient has sustained severe diffuse brain damage at the time of injury. In the majority of head injuries damage to blood vessels or axons predominates. In patients with a traumatic deep intracerebral haematoma, it would appear that the deceleration/acceleration forces are such that both axons and blood vessels within the brain are damaged at the time of injury. |
| doi_str_mv | 10.1136/jnnp.49.9.1039 |
| format | Article |
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In patients with a basal ganglia haematoma, contusions were more severe, there was a reduced incidence of a lucid interval, and there was an increased incidence of road traffic accidents, gliding contusions and diffuse axonal injury than in patients without this type of haematoma. Intracranial haematoma is usually thought to be a secondary event, that is a complication of the original injury, but these results suggest that a deep intracerebral haematoma is a primary event. If a deep intracerebral haematoma is identified on an early CT scan it is likely that the patient has sustained severe diffuse brain damage at the time of injury. In the majority of head injuries damage to blood vessels or axons predominates. In patients with a traumatic deep intracerebral haematoma, it would appear that the deceleration/acceleration forces are such that both axons and blood vessels within the brain are damaged at the time of injury.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.49.9.1039</identifier><identifier>PMID: 3760892</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Basal Ganglia Diseases - etiology ; Basal Ganglia Diseases - pathology ; Biological and medical sciences ; Brain - pathology ; Brain Damage, Chronic - etiology ; Brain Injuries - complications ; Brain Injuries - pathology ; Cerebral Hemorrhage - etiology ; Cerebral Hemorrhage - pathology ; Child ; Child, Preschool ; Female ; Hematoma - etiology ; Humans ; Injuries of the nervous system and the skull. Diseases due to physical agents ; Male ; Medical sciences ; Middle Aged ; Traumas. Diseases due to physical agents ; Wounds, Nonpenetrating - complications</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 1986-09, Vol.49 (9), p.1039-1043</ispartof><rights>1987 INIST-CNRS</rights><rights>Copyright BMJ Publishing Group LTD Sep 1986</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4959-6e81dbdfa15b635154f12ad64ffc5ce535287385696244edcba5aeb9168f5e083</citedby><cites>FETCH-LOGICAL-b4959-6e81dbdfa15b635154f12ad64ffc5ce535287385696244edcba5aeb9168f5e083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1029009/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1029009/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7927342$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3760892$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adams, J H</creatorcontrib><creatorcontrib>Doyle, D</creatorcontrib><creatorcontrib>Graham, D I</creatorcontrib><creatorcontrib>Lawrence, A E</creatorcontrib><creatorcontrib>McLellan, D R</creatorcontrib><title>Deep intracerebral (basal ganglia) haematomas in fatal non-missile head injury in man</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Deep intracerebral (basal ganglia) haematomas were found post mortem in 63 of 635 fatal non-missile head injuries. In patients with a basal ganglia haematoma, contusions were more severe, there was a reduced incidence of a lucid interval, and there was an increased incidence of road traffic accidents, gliding contusions and diffuse axonal injury than in patients without this type of haematoma. Intracranial haematoma is usually thought to be a secondary event, that is a complication of the original injury, but these results suggest that a deep intracerebral haematoma is a primary event. If a deep intracerebral haematoma is identified on an early CT scan it is likely that the patient has sustained severe diffuse brain damage at the time of injury. In the majority of head injuries damage to blood vessels or axons predominates. In patients with a traumatic deep intracerebral haematoma, it would appear that the deceleration/acceleration forces are such that both axons and blood vessels within the brain are damaged at the time of injury.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Basal Ganglia Diseases - etiology</subject><subject>Basal Ganglia Diseases - pathology</subject><subject>Biological and medical sciences</subject><subject>Brain - pathology</subject><subject>Brain Damage, Chronic - etiology</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - pathology</subject><subject>Cerebral Hemorrhage - etiology</subject><subject>Cerebral Hemorrhage - pathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Hematoma - etiology</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Wounds, Nonpenetrating - complications</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkc-L1DAYhoMo67h69SYUFHEPrUnzq7kIMrrrwq4edEW8hK_t15nWNh2TVtz_3pQZhtWLuSTwPPn4Xl5CnjKaMcbV6865XSZMZjJGublHVkyoIuWcfrtPVpTmecqppA_JoxA6upzCnJATrlV85Cty8w5xl7Ru8lChx9JDn7wqIcRrA27Tt3CWbAEHmMYBQhSTBqYI3ejSoQ2h7THZItSRdLO_XYQB3GPyoIE-4JPDfUpuzt9_WX9Irz5dXK7fXqWlMNKkCgtWl3UDTJaKSyZFw3KolWiaSlYoucwLzQupjMqFwLoqQQKWhqmikUgLfkre7Ofu5nKIHJccvd35dgB_a0do7d_EtVu7GX9ZRnNDqYkDXh4G-PHnjGGyMVSFfQ8OxzlYranSUvMoPv9H7MbZuxjOMq3jmrkRMlrZ3qr8GILH5rgKo3apyy51WWGssUtd8cOzuwGO-qGfyF8cOIQK-saDq9pw1LTJNReLlu61Nkz4-4jB_7BKcy3tx69r-5lfX3-XVNrFP9v75dD9b8U_H1i6cA</recordid><startdate>19860901</startdate><enddate>19860901</enddate><creator>Adams, J H</creator><creator>Doyle, D</creator><creator>Graham, D I</creator><creator>Lawrence, A E</creator><creator>McLellan, D R</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19860901</creationdate><title>Deep intracerebral (basal ganglia) haematomas in fatal non-missile head injury in man</title><author>Adams, J H ; Doyle, D ; Graham, D I ; Lawrence, A E ; McLellan, D R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b4959-6e81dbdfa15b635154f12ad64ffc5ce535287385696244edcba5aeb9168f5e083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1986</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Basal Ganglia Diseases - etiology</topic><topic>Basal Ganglia Diseases - pathology</topic><topic>Biological and medical sciences</topic><topic>Brain - pathology</topic><topic>Brain Damage, Chronic - etiology</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - pathology</topic><topic>Cerebral Hemorrhage - etiology</topic><topic>Cerebral Hemorrhage - pathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Hematoma - etiology</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Wounds, Nonpenetrating - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adams, J H</creatorcontrib><creatorcontrib>Doyle, D</creatorcontrib><creatorcontrib>Graham, D I</creatorcontrib><creatorcontrib>Lawrence, A E</creatorcontrib><creatorcontrib>McLellan, D R</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adams, J H</au><au>Doyle, D</au><au>Graham, D I</au><au>Lawrence, A E</au><au>McLellan, D R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Deep intracerebral (basal ganglia) haematomas in fatal non-missile head injury in man</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>1986-09-01</date><risdate>1986</risdate><volume>49</volume><issue>9</issue><spage>1039</spage><epage>1043</epage><pages>1039-1043</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>Deep intracerebral (basal ganglia) haematomas were found post mortem in 63 of 635 fatal non-missile head injuries. In patients with a basal ganglia haematoma, contusions were more severe, there was a reduced incidence of a lucid interval, and there was an increased incidence of road traffic accidents, gliding contusions and diffuse axonal injury than in patients without this type of haematoma. Intracranial haematoma is usually thought to be a secondary event, that is a complication of the original injury, but these results suggest that a deep intracerebral haematoma is a primary event. If a deep intracerebral haematoma is identified on an early CT scan it is likely that the patient has sustained severe diffuse brain damage at the time of injury. In the majority of head injuries damage to blood vessels or axons predominates. In patients with a traumatic deep intracerebral haematoma, it would appear that the deceleration/acceleration forces are such that both axons and blood vessels within the brain are damaged at the time of injury.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>3760892</pmid><doi>10.1136/jnnp.49.9.1039</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of neurology, neurosurgery and psychiatry, 1986-09, Vol.49 (9), p.1039-1043 |
| issn | 0022-3050 1468-330X |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Aged, 80 and over Basal Ganglia Diseases - etiology Basal Ganglia Diseases - pathology Biological and medical sciences Brain - pathology Brain Damage, Chronic - etiology Brain Injuries - complications Brain Injuries - pathology Cerebral Hemorrhage - etiology Cerebral Hemorrhage - pathology Child Child, Preschool Female Hematoma - etiology Humans Injuries of the nervous system and the skull. Diseases due to physical agents Male Medical sciences Middle Aged Traumas. Diseases due to physical agents Wounds, Nonpenetrating - complications |
| title | Deep intracerebral (basal ganglia) haematomas in fatal non-missile head injury in man |
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