ABSTRACT
The differential policy of surgical and drug therapies was evidenced by comprehensive clinical, computed and magnetic resonance tomographic studies and follow-up of 113 patients with focal frontal lobar lesions. Five-year follow-up findings show that mild and moderate posttraumatic focal changes and mild posttraumatic diffuse changes detected by CT and MRT data favour a better clinical recovery and satisfactory social and working rehabilitation in most victims with crushing foci and intracerebral hematomas of the frontal lobes.
Subject(s)
Brain Injuries/therapy , Frontal Lobe/injuries , Adolescent , Adult , Aged , Brain Concussion/diagnosis , Brain Concussion/therapy , Brain Injuries/diagnosis , Cerebral Hemorrhage/diagnosis , Cerebral Hemorrhage/therapy , Child , Female , Follow-Up Studies , Frontal Lobe/surgery , Hematoma/diagnosis , Hematoma/therapy , Humans , Male , Middle Aged , Remission InductionABSTRACT
Computed tomography and NMR tomography time course examinations of 113 cases with frontal lobe focal lesions provided evidence for prognosis of their course and outcomes. By primary clinical and CT pictures it is possible to predict manifestations and regression of intracranial hypertension, meningeal symptoms, focal neurological symptoms, psychopathological disturbances, duration of treatment, posttraumatic changes, validity of indications for conservative or surgical treatment with 80% probability.
Subject(s)
Frontal Lobe , Adolescent , Adult , Aged , Brain Concussion/diagnosis , Brain Concussion/therapy , Brain Edema/diagnosis , Brain Edema/therapy , Cerebral Hemorrhage/diagnosis , Cerebral Hemorrhage/therapy , Child , Female , Frontal Lobe/diagnostic imaging , Frontal Lobe/injuries , Frontal Lobe/pathology , Hematoma/diagnosis , Hematoma/therapy , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Prognosis , Prospective Studies , Retrospective Studies , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
The relationships between the inert tension of the head and the morphologic substrates of brain injuries were under study. A comparative clinical and morphologic analysis of lethal contusion and axonal injuries underlie this investigation. Differences in the neurologic semeiotics and CT data in such injuries are presented. The authors discuss the mechanisms of the physical processes in the skull, resulting in focal and diffuse injuries of the brain. Quantitative assessment of the traumatic cerebral substrates is given and relations of these parameters to the conditions of the head trauma (the direction of the external injurious factor action) and the clinical picture are shown. The results of this study may be useful in establishing some circumstances of craniocerebral injuries.
