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Prognostic Factors in Acute Head Injuries—Brain Stem Contusion During the First Week

  • Conference paper
Proceedings of the 6th European Congress of Neurosurgery

Part of the book series: Acta Neurochirurgica ((NEUROCHIRURGICA,volume 28))

  • 123 Accesses

Abstract

In deep unconsciousness the estimation of the intracranial state is based on the evaluation of intracranial pressure, dynamic neurological signs, and vital functions. In comatose patients showing general clinical signs of brain stem injury, neurological examination is directed towards brain stem reflexes which may indicate the anatomical level of the lesion. At the same time, brain stem reflexes, as the integral part of the total clinical picture immediately after injury, may be used as one of the factors for early prognosis. Generally speaking, the level of intracranial pressure, motor postural reflexes, and brain stem reflexes almost always provide a forecast of the results of severe craniocerebral injuries and particularly brain stem injuries (primary and secondary).

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References

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Author information

Authors and Affiliations

  1. Neurosurgical Clinic, University of Belgrade, Yugoslavia

    B. Babić, Ž. Djordjević & M. Janićijević

Authors
  1. B. Babić
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  2. Ž. Djordjević
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  3. M. Janićijević
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Editor information

Editors and Affiliations

  1. Clinique Neurochirurgicale, Université Libre de Bruxelles, Rue Héger-Bordet, 1, B-1000, Bruxelles, Belgium

    J. Brihaye

  2. Middlesbrough General Hospital, Ayresome Green Lane, TS5 5AZ, Middlesbrough, Cleveland, UK

    P. R. R. Clarke

  3. Neurochirurgische Universitätsklinik, D-6650, Homburg/Saar, Federal Republic of Germany

    F. Loew

  4. Odense University Hospital, DK-5000, Odense, Denmark

    J. Overgaard M.D.

  5. National Institute of Neurosurgery, Amerikai út 57, H-1145, Budapest, Hungary

    E. Pásztor M.D.

  6. Groupe Hospitalier Pitié-Salpêtrière, Université de Paris VI, Clinique Neuro-Chirurgicale, 83, Boulevard de l’Hôpital, F-75013, Paris, France

    B. Pertuiset

  7. Neurochirurgische Klinik, Johannes Gutenberg-Universität, Langenbeckstrasse 1, D-6500, Mainz, Federal Republic of Germany

    K. Schürmann

  8. Consultant Neurosurgeon, Gough Cooper Department of Neurological Surgery, The National Hospital, Queen Square, WC1N 3BG, London, UK

    L. Symon T.D., F.R.C.S.

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© 1979 Springer-Verlag Wien

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Cite this paper

Babić, B., Djordjević, Ž., Janićijević, M. (1979). Prognostic Factors in Acute Head Injuries—Brain Stem Contusion During the First Week. In: Brihaye, J., et al. Proceedings of the 6th European Congress of Neurosurgery. Acta Neurochirurgica, vol 28. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4088-8_37

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  • DOI: https://doi.org/10.1007/978-3-7091-4088-8_37

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-4090-1

  • Online ISBN: 978-3-7091-4088-8

  • eBook Packages: Springer Book Archive

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