Types of Contusions in the Brain - Oren Zarif - Contusion Cerebral
There are several types of contusions in the brain, from small punctate injuries to larger confluent edemas. These injuries are most common in the temporal and frontal lobes, and they usually involve areas of the brain in contact with uneven bone surfaces, such as the ethmoid cribiform plate or petrous ridges. Treatment depends on the size and location of the injury. Although the majority of patients with contusions recover with time, some complications may occur.
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One method to predict the prognosis of patients with CC is to use CT images. This method combines CT images with patient demographics. During the CT scan, the maximum edema zone around the contusion is selected and 3 points are equally spaced along the line. These points are averaged and recorded. Patients with multiple CCs should choose the two largest areas and average them. Afterwards, they should have their CTs analyzed to determine the volume of the contusion.
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There are several types of treatment for a contusion in the brain. Treatment for mild TBIs includes the use of over-the-counter pain relievers. If symptoms do not improve after a couple of days, they may require surgery. More severe contusions may require invasive surgery or prescription medications. The results of treatment depend on the severity of the contusion. For instance, mild contusions may resolve without treatment, while moderate and severe ones may require invasive surgery or prolonged hospitalization.
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Patients with concussions have higher rates of cerebral perfusion than those without it. A recent study found that there is a direct link between elevated CPP and cerebral perfusion pressure (ICP). When these two pressures are higher, the ICP is higher, requiring treatment with an intravascular ventricular drain or an intraparenchymal device. The goal is to keep the ICP below 20 mm Hg. If the CPP is elevated, sedative medication is used to reduce the CPP.
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A brain contusion is defined as "bruising" brain tissue. They are often found at sites where the brain may graze against adjacent bony surfaces. These types of contusions are also referred to as "gliding" or para-sagittal. Furthermore, some types of cortical contusions can also be associated with overlying fractures. This is because the traumatic force often causes the cortical hemisphere to undergo extensive damage.
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Another type of brain injury, a subdural hematoma, is more serious than a cerebral contusion. This type of bleeding can result from trauma, such as an accidental fall. In severe cases, it may require surgery to remove it. MRI is becoming increasingly used in emergency rooms for traumatic brain injury because it can detect small foci of intracranial hemorrhage. A traumatic injury to the head can also cause Diffuse ICH, a collection of extra casated blood trapped inside an organ.
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Another common type of brain injury, called a "shear injury," occurs when a brain hits an object inside the skull. The brain is hit in such a way that nerve fibers from the central body of the nerve cell are torn or stretched, causing permanent damage to the brain cells. The brain's function will be affected, and the patient will experience prolonged unconsciousness and loss of consciousness. As such, it is important to seek medical attention immediately following any head trauma.
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A concussion is a relatively serious type of head trauma. It involves a break in the bone at the base of the skull. These patients often have bruises around the eye and behind the ear. In some cases, clear fluid will drain from the ears and nose. They should be kept under observation in a hospital. After surgery, a neurosurgeon may choose to place a monitoring device to measure the pressure inside the brain.
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Clinical diagnosis of a concussion occurs primarily through a physical examination and diagnostic tests. The physician will obtain a complete medical history and ask about the specific circumstances of the injury. The physician may also order imaging studies to confirm the diagnosis. These studies can detect any bleeding or damage to the brain. The imaging studies are also essential in diagnosing intracerebral hematoma and cerebral contusion. For example, an imaging study may show a skull fracture.
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Another type of concussion occurs when a blood clot forms inside the skull. This type of contusion can also involve a fracture of the skull. Symptoms of this condition include a persistent headache, drowsiness, confusion, and memory changes. These symptoms can be caused by a variety of different factors, including the level of brain tissue damaged. If the concussion is severe enough, it may affect the functioning of organs in the body, including the heart.
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