medigraphic.com
ISSN 1684-1824 (Electronic)

2015, Number 6

<< Back Next >>

Rev Méd Electrón 2015; 37 (6)

Characterization of cranial trauma by aggression in Matanzas

Rodríguez RE, Pérez OL, Lorenzo RT

Language: Spanish
References: 11
Page: 570-578
PDF size: 308.57 Kb.


ABSTRACT

Background: Cranioencephalic trauma by aggression is a motive of frequent consultation in the Neurosurgery Services of the country.
Aim: The aim was to know its incidence, its more frequent lesions, status at admission, mortality and early sequels of the patient who suffered a neurotraumatic aggression with special care necessity.
Materials and methods: an observational, descriptive study was carried out characterizing 39 patients admitted in the Neurosurgery Services of Matanzas in a two-year period, who presented cranioencephalic trauma due to aggression.
Outcomes: male sex predominated (77%) and people aged less than 45 years (77.4%), being drank at the moment of the trauma (55%). Machete was the most used vulnerary agent in the aggression. 72% of the cases were admitted with a 14 and 15 punctuation in the Glasgow Scale; 18% among 13 and 9 points, and 10% below 8 points. Among the most frequently found lesions are lineal fractures, penetrating depressed fractures, contusive focuses and the presence of epidural hematoma. 2 patients presented high sagittal sinus lesion. 74% of the cases needed surgical treatment and Glasgow punctuation at discharge was good in 77% of the patients.
Conclusions: Aggression as a cause of cranioencephalic trauma is relatively frequent in our surroundings; the pathology is almost exclusive of the male gender; quarrelling and alcohol are directly related with the trauma. In general, cranioencephalic trauma by aggression presents low mortality, but a considerable morbidity.


REFERENCES

  1. 1- Sieswerda-Hoogendoorn T, Boos S, Spivack B, Bilo RA, van Rijn RR. Educationalpaper: Abusive Head Trauma part I. Clinical aspects. Eur J Pediatr. 2012 Mar;171(3):415-23. Citado en PubMed Central; PMCID: PMC3284669.

  2. 2- Adamec J, Praxl N, Schneider K, Graw M. Estimation of effective mass of longish rigid instruments in head impacts. Int J Legal Med. 2011 Nov;125(6):763-71. Citado en PubMed; PMID: 20676895.

  3. 3- Kerr ZY, Harmon KJ, Marshall SW, Proescholdbell SK, Waller AE. The epidemiology of traumatic brain injuries treated in emergency departments in North Carolina, 2010-2011. N C Med J. 2014 Jan-Feb;75(1):8-14. Citado en PubMed;PMID: 24487751.

  4. 4- Undén J, Ingebrigtsen T, Romner B, Scandinavian Neurotrauma Committee (SNC). Scandinavian guidelines for initial management of minimal, mild and moderate head injuries in adults: an evidence and consensus-based update. BMC Med. 2013 Feb 25;11:50. Citado en PubMed; PMID: 23432764.

  5. 5- Bratton SL, Chestnut RM, Ghajar J, Mcconnell Hammond FF, Harris OA, Hartl R, et al. VI. Indications for intracranial pressure monitoring. J Neurotrauma [Internet]. 2007 [citado 2 Mar 2015];24(Suppl 1):37-44. Disponible en: http://online.liebertpub.com/doi/pdf/10.1089/neu.2007.9990

  6. 6- Brickley MR, Shepherd JP. The relationship between alcohol intoxication, injury severity and Glasgow Coma Score in assault patients. Injury. 1995;26(5). Citado en PubMed; PMID: 7649645.

  7. 7- Berger RP, Fromkin JB, Stutz H, Makoroff K, Scribano PV, Feldman K, et al. Abusive head trauma during a time of increased unemployment: a multicenter analysis. Pediatrics [Internet]. 2011 [citado 2 Mar 2015];128(4). Disponible en: http://pediatrics.aappublications.org/content/128/4/637.short

  8. 8- Vásquez-Ávila O, Fiallos-Fonseca J. El machete como causante de traumatismo craneoencefálico abierto en el Hospital Escuela desde enero de 1998 a septiembre del 2000. Rev Med Post UNAH. 2001 sept-dic;6(3).

  9. 9- Sieswerda-Hoogendoorn T, Boos S, Spivack B, Bilo RA, van Rijn RR. Abusive head trauma Part II: radiological aspects. Eur J Pediatr. 2012 Apr;171(4):617-23. PubMed; PMID: 22080958.

  10. 10- El-Matbouly M, El-Menyar A, Al-Thani H, Tuma M, El-Hennawy H, AbdulRahman H, et al. Traumatic braininjury in Qatar: age matters--insights from a 4-year observational study. Scientific World Journal. 2013 Jul 22;2013:354920. PubMed; PMID: 23983630.

  11. 11- Stenberg M, Koskinen LO, Levi R, Stålnacke BM. Severe traumatic brain injuries in Northern Sweden: a prospective 2-year study. J Rehabil Med. 2013 Sep;45(8):792-800. PubMed; PMID: 24002316.




2020     |     www.medigraphic.com