By Dr. György Csécsei, Dr. Oskar Hoffmann, Professor Dr. Norfrid Klug, Dr. Albrecht Laun, Dr. Robert Schönmayr, Professor Dr. Jan Zierski (auth.)
This quantity is the 1st to explain all clinically and experimental appropriate facets of basic and secondary mind stem lesions vital to clinicians. It encompasses a targeted description of the computer-tomographical and morphological adjustments of the cerebral cisterns in acutely and chronically elevated intracranial strain. The prognostic price of medical parameters of basic and secondary mind stem lesions is validated. the chances of assessing the medical path via computer-aided review are offered. as well as that, complete view of morphological, radiological and scientific findings, huge research touching on blink reflex (BR) and auditory evoked mind stem potentials (BAEP) offer hugely correct sensible points of these lesions. the consequences of raised intracranial strain upon BR, BAEP in addition to upon cerebral blood stream and focal move in numerous mind parts have been studied in animal experiments and show new and engaging conclusions. in line with those investigations, a mathematical version following sleek ideas of method research used to be built. The version contains the intracranial process, autoregulation of cerebral move (cardiovascular parts) and the short-time behaviour of arterial blood strain legislation.
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Additional resources for Primary and Secondary Brain Stem Lesions
Fisher MA, Shahani BT (1979) Assessing segmental excitability after acute rostral lesions: II. The blink reflex. Neurology (Minneap) 29 (I): 45-50 35. Gennarelli T A et at (1982) Influence of the type of intracranial lesion on outcome from severe head injury. J Neurosurg 56: 2632 36. Gerstenbrand F (1967) Das traumatische appallische Syndrom. Springer, Wien New York 37. Gerstenbrand F, Lucking CH (1970) Die akuten traumatischen Hirnstammschiiden. Arch Psychiatr Nervenkr 213: 264-281 38. Gerstenbrand F (1970) Klinik und Therapie der akuten traumatischen Hirnstammschiiden.
J Neurosurg 56: 2632 36. Gerstenbrand F (1967) Das traumatische appallische Syndrom. Springer, Wien New York 37. Gerstenbrand F, Lucking CH (1970) Die akuten traumatischen Hirnstammschiiden. Arch Psychiatr Nervenkr 213: 264-281 38. Gerstenbrand F (1970) Klinik und Therapie der akuten traumatischen Hirnstammschiiden. Z ges Neurologie Psychiat 197: 105 55. 56. 57. 58. 59. 39. Greenberg RP et at (1977) Evaluation of brain function in severe human trauma with multimodality evoked potentials. Part I: Evoked brain injury potentials, methods and analysis.
Age distribution of the patients. Right stippled column: Total cases. Left column: Craniovertebral injuries. Open head injuries-hatched 143 closed 31 compound Table 2. Age distribution in relation to the findings 15-19 [ 3 1 7 6 9 1 24 4 - 6 11 17 41 38 17 124 ~7 14 12 19 38 22 105 [ 26 36 66 85 40 253 Because of their shape a computerized assessment of the basal cisterns is not reasonable. For this reason they are classified by purely visual subjective assessments into the categories unremarkable, narrow, obliterated and enlarged.