• 제목/요약/키워드: head injury

검색결과 608건 처리시간 0.027초

Isolated Oculomotor Nerve Palsy Following Minor Head Trauma : Case Illustration and Literature Review

  • Kim, Ealmaan;Chang, Hyukwon
    • Journal of Korean Neurosurgical Society
    • /
    • 제54권5호
    • /
    • pp.434-436
    • /
    • 2013
  • Isolated oculomotor nerve palsy (ONP) attributable to mild closed head trauma is a distinct rarity. Its diagnosis places high demands on the radiologist and the clinician. The authors describe this condition in a 36-year-old woman who slipped while walking and struck her face. Initial computed tomography did not reveal any causative cerebral and vascular lesions or orbital and cranial fractures. Enhancement and swelling of the cisternal segment of the oculomotor nerve was seen during the subacute phase on thin-sectioned contrast-enhanced magnetic resonance images. The current case received corticosteroid therapy, and then recovered fully in 13 months after injury. Possible mechanism of ONP from minor head injury is proposed and previous reports in the literature are reviewed.

스키와 스노보드 사고에서 두부손상의 특징 (Characteristics of Head Injuries After Skiing and Snowboarding Accident)

  • 강성찬;이강현;최한주;박경혜;김상철;김현;황성오
    • Journal of Trauma and Injury
    • /
    • 제21권1호
    • /
    • pp.53-58
    • /
    • 2008
  • Purpose: Skiing and snowboarding are becoming increasingly popular. Accordingly, the incidences of injuries among skiers and snowboarders are also increasing. The purpose of this study was to investigate the injury patterns of and the contributing factors to head injuries of skiers and snowboarders and to evaluate the differences in characteristics between skiing and snowboarding head injuries. Methods: One-hundred patients who visited the emergency department of Wonju Christian Hospital between January 2005 and March 2007 due to head injuries from skiing and snowboarding were enrolled. The mechanisms and the histories of the injuries were investigated by surveying the patients, and the degrees of head injuries were estimated by using brain CT and the Glasgow Coma Scale. The degrees and the characteristics of brain injuries were also analyzed and compared between skiers and snowboarders. Results: Out of 100 patients, 39 were injured by skiing, and 61 were injured by snowboarding. The mean age of the skiers was $26.7{\pm}10.0$, and that of the snowboarders was $26.7{\pm}6.2$. The percentage of male skiers was 43.6%, and that of snowboarders was 63.9%. The most frequent initial chief complaints of head-injured skiers and snowboarders were headache and mental change. The most common mechanism of injuries was a slip down. The mean Abbreviated Injury Scale Score (AIS score) of the skier group was $4.5{\pm}2.1$ and that of the snowboarder group was $5.9{\pm}5.0$ (p=0.222). The percentage of helmet users was 7.1% among skiers and 20.8% among snowboarders (p=0.346). Head injuries were composed of cerebral concussion (92.0%) and intracranial hemorrhage (8.0%). Intracranial hemorrhage was most frequently caused by falling down (62.5%). Conclusion: The most common type of head injury to skiers and snowboarders was cerebral concussion, and severe damage was usually caused by jumping and falling down. No differences in the characteristics of the head injuries existed between skiing and snowboarding injuries.

차량 COWL구조에 따른 보행자 머리 상해치 영향에 관한 연구 (A study on effect of pedestrian head injury with vehicle cowl structure type)

  • 홍규갑;정호영;조원철;이태식
    • 한국방재학회:학술대회논문집
    • /
    • 한국방재학회 2008년도 정기총회 및 학술발표대회
    • /
    • pp.517-519
    • /
    • 2008
  • 2007, Pedestrian protection test is operated by Korea ministry of construction & transportation. This paper focused on small size vehicle cowl structure type for reducing pedestrian head injury.

  • PDF

북미 강화NCAP 무릎상해 대응용 최적 니볼스터 구조 연구 (The Optimized Knee Bolster Structure for US-NCAP)

  • 백창인;최규상;정재윤
    • 자동차안전학회지
    • /
    • 제4권1호
    • /
    • pp.18-22
    • /
    • 2012
  • The US-NCAP was rated by the head and chest injury, but the new US-NCAP requires various dummy injury parts such as head, neck, chest, and femur. So, new restraint systems are needed. Particularly, the knee bolster must meet both unbelted and belted test condition requirements. This paper analyzed the dummy response of both test condition and suggested a knee bolster F-D requirement as well as a new knee bolster structure.

A More Detailed Classification of Mild Head Injury in Adults and Treatment Guidelines

  • Lee, Young-Bae;Kwon, Sun-Ju
    • Journal of Korean Neurosurgical Society
    • /
    • 제46권5호
    • /
    • pp.451-458
    • /
    • 2009
  • Objective : The purpose of this study was to analyze risk factors that are associated with intracranial lesion, and to propose criteria for classification of mild head injury (MHI), and appropriate treatment guidelines. Methods : The study was based on 898 patients who were admitted to our hospital with Glasgow Coma Scale (GCS) score of 13 to 15 between 2003 and 2007. The patients' initial computerized tomography (CT) findings were reviewed and clinical findings that were associated with intracranial lesions were analyzed. Results : GCS score, loss of consciousness (LOC), age and skull fracture were identified as independent risk factors for intracranial lesions. Based on the data ana lysed in this study, MHI patients were divided into four subgroups : very low risk MHI patients are those with a GCS score of 15 and without a history of LOC or headache; low risk MHI patients have a GCS score of 15 and with LOC and/or headache; medium risk MHI patients are those with a GCS score of 15 and with a skull fracture, neurological deficits or with one or more of the risk factors; high risk MHI patients are those with a GCS score of 15 with abnormal CT findings and GCS score of 14 and 13. Conclusion : A more detailed classification of MHI based on brain CT scan findings and clinical risk factors can potentially improve patient diagnosis. In light of our findings, high risk MHI patients should be admitted and treated in same manner as those with moderate head injury.

국가별 좌석 안전성 평가 방법에 따른 머리지지대 최적화 설계 (Optimized Design of the Head restraint according the regional seat safety assessment)

  • 유혁진;임종현;윤일성
    • 자동차안전학회지
    • /
    • 제5권2호
    • /
    • pp.45-50
    • /
    • 2013
  • The whiplash Injuries due to rear collision occur frequently. As result, in many countries, seat performance is being assessed and developed to improve head whiplash injury in rear collision of passenger car. This study compares whiplash assessment methods in each country. Using the DFSS(Design for Six Sigma) method, the correlation between influence parameters of head restraints and whiplash injury criteria is analyzed. Four control factors are used in this study. And total 11 whiplash injury criteria from NCAP(New Car Assessment Program) of Korea, Europe, China and IIHS(Insurance Institute for Highway Safety) of USA are used for output response. By the experimental design, L9 orthogonal coordinate system is configured and is tested by sled test equipment, twice. By using average assay value and ANOVA, the correlation between control factors and injury criteria has been comprehended. Optimization design of head restraint according the regional seat safety assessment was derived through the correlation.

Traumatic Brain Injury-Induced Mixed Chemosensory Disorder: a Case Study on Taste and Smell Dysfunction

  • Yeong-Gwan Im;Seul Kee Kim;Chung Man Sung;Jae-Hyung Kim
    • Journal of Oral Medicine and Pain
    • /
    • 제48권4호
    • /
    • pp.181-185
    • /
    • 2023
  • We present a case report of a 52-year-old male patient who suffered head trauma in a car accident and subsequently experienced taste and smell disorders. Following the accident, the patient reported difficulty detecting salty and sour tastes and diminished olfactory perception. Neurosurgical evaluation revealed subarachnoid and subdural hemorrhages, while otolaryngology investigations revealed hyposmia-a decreased sense of smell. Upon referral to the Department of Oral Medicine, a comprehensive assessment revealed a general bilateral reduction in taste sensation, particularly ageusia for salty taste. Electric taste-detection thresholds significantly exceeded the normal ranges. Integrating our findings from neurosurgery, otolaryngology, and oral medicine resulted in a diagnosis of mixed chemosensory disorder attributed to head trauma. This case highlights the intricate interplay of alterations in taste and smell following head injury, emphasizing the significance of multidisciplinary evaluations in diagnosing mixed chemosensory disorders resulting from traumatic brain injury.

Assessment of Safety Performances in Operation of Human-centered Robots Using Geometric Tolerance and Head Injuries Criteria

  • Choi, Gi-Heung
    • International Journal of Safety
    • /
    • 제6권1호
    • /
    • pp.1-6
    • /
    • 2007
  • Operation of human-centered robot, in general, facilitates the creation of new process that may potentially harm the human operators. Design of safety-guaranteed operation of human-centered robots is, therefore, important since it determines the ultimate outcomes of operations involving safety of human operators. This study discusses the application of geometric tolerance and head injury criteria to safety assessment of human-centered robotic operations. Examples show that extending "Work Area" has more significant effect on the uncertainty in safety than extending the system range in the presence of velocity control.

관통성 경부 손상에 관한 임상적 고찰 (Clinical Analysis of Penetrating Neck Injury: Review of 42 Operated Cases)

  • 최환;홍석진;김연수;조재구;백승국;우정수;정광윤;권순영
    • 대한기관식도과학회지
    • /
    • 제16권2호
    • /
    • pp.121-125
    • /
    • 2010
  • Background: Penetrating neck injuries are potentially dangerous and require emergency management because of the presence of vital structures in the neck. The risk of airway, vascular, neurological, and pharyngoesophageal injuries leads to many difficult diagnostic decisions. The purpose of this retrospective study is to evaluate our experience with management of penetrating neck injuries, and to assess treatment outcome. Material and Method: Forty-two consecutive patients were identified (26 patients from Korea university Ansan hospital, 16 patients from Guro hospital) as having penetrating neck injuries from 2003 to 2009. With review of medical records, variables were collected and evaluated including the location of injury, mechanism of injury, number of significant injuries, diagnostic modalities, duration of hospital stay and outcome. Results: The location of injury was zone I (lower neck) in 13 cases (31%), zone II (midportion of the neck) in 22 (52%), and zone III (upper neck) in 7 (17%). Injuries were caused by stab wounds in 23 patients, penetrating foreign bodies in 12. Among 35 patients who had deep injuries that violated the platysma, significant injuries, including major vascular (20), trachea (5) Pharyngoesophageal injuries (5) were identified in 24 patients. The mean hospital stay was 9.5 days. Conclusion: The penetrating trauma in the neck may show various degrees of severity. However, Cervical penetrating injury should not be underestimated in spite of the minimal width of the lesion.

  • PDF