Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 21.750
Filtrar
1.
No Shinkei Geka ; 49(5): 934-945, 2021 Sep.
Artigo em Japonês | MEDLINE | ID: mdl-34615753

RESUMO

The 4th edition of the Guidelines for Treatment and Management of Head Injury by the Japan Society of Neurotraumatology newly published a three-step evaluation method for CT, indications for repeat CT, cancer risk associated with radiation exposure, and preparation of examination guidelines for reduction of radiation exposure. This manuscript describes how to proceed with diagnostic imaging of head injuries and the new items. The important points are as follows: •CT is the first-step diagnostic imaging method in the acute phase. •Initial CT assesses the presence or absence of intracranial hemorrhage requiring emergency craniotomy. •It is necessary to perform repeat CT to assess secondary injury. •For minor head injuries, the indication for CT should be determined by confirming neurological concomitant symptoms considering radiation exposure.


Assuntos
Traumatismos Craniocerebrais , Traumatismos Craniocerebrais/diagnóstico por imagem , Humanos , Japão
2.
No Shinkei Geka ; 49(5): 1011-1023, 2021 Sep.
Artigo em Japonês | MEDLINE | ID: mdl-34615761

RESUMO

Abusive head trauma(AHT) is a leading cause of severe traumatic brain injury in children under 2 years old. Patients with AHT present with various clinical features, including acute subdural hematoma, retinal hemorrhage, and extensive hemispheric hypodensity, which has recently been reproduced in a basic experimental model. Despite multidisciplinary treatment, the outcome is poor, and neurological sequelae often remain. However, functional recovery seems possible with aggressive rehabilitation. The medical rationale for the diagnosis of AHT has a significant impact on the judicial decision-making process to determine evidence of child abuse, enabling collaboration with the police, prosecutors, and other investigative agencies, including lawyers. In Japan, infantile acute subdural hematoma(hematoma type I)is a clinical form of hematoma that often occurs after 6-10 months, when the child is able to walk. It is accompanied by backward fall, sudden loss of consciousness, pallor, spastic paralysis of the extremities, and retinal hemorrhage. A nationwide survey of infant acute subdural hematoma due to minor injury is currently being planned, and it is hoped that this would be comprehensive in Japan. Medical personnel involved in neurosurgical emergencies have an important responsibility as a safety network for pediatric care and are expected to play a central role in the diagnosis of AHT through collaboration with many specialized departments.


Assuntos
Maus-Tratos Infantis , Traumatismos Craniocerebrais , Criança , Traumatismos Craniocerebrais/complicações , Traumatismos Craniocerebrais/diagnóstico , Humanos , Lactente , Japão/epidemiologia
3.
No Shinkei Geka ; 49(5): 1032-1039, 2021 Sep.
Artigo em Japonês | MEDLINE | ID: mdl-34615763

RESUMO

All the statements regarding sports-related concussion(SRC)in our guidelines are generally simple but somewhat unfavorable. SRC is diagnosed solely by symptoms, without any definitive diagnostic measures. Various pathophysiologies are suspected to underlie SRC, making single diagnostic biomarker or neuroimaging unreliable. It is widely acknowledged that casualties of SRC should return to play gradually in a stepwise fashion; however, effective treatment and rehabilitation need to be determined. Although the pathological findings of chronic traumatic encephalopathy(CTE), possibly the result of repetitive injuries, have been elucidated, further research is needed to establish a clinical diagnosis and testing modalities for CTE.


Assuntos
Traumatismos Craniocerebrais , Esportes , Traumatismos Craniocerebrais/diagnóstico por imagem , Traumatismos Craniocerebrais/terapia , Humanos , Japão/epidemiologia
6.
Ir Med J ; 114(7): 415, 2021 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-34520650

RESUMO

The Period of PURPLE Crying Program is an educational program delivered to parents of newborn children that aims to reduce the incidence of abusive head trauma/shaken baby syndrome1. The program was developed by a research-based, non-profit organisation and has already been implemented in many countries around the world. It educates parents on what to expect during the first few months of their newborn infant's life, allowing parents to become more informed and better prepared to care for their child. The recent surge in the number of cases of abusive head trauma in children during the COVID-19 pandemic has highlighted the need for greater resources being made available to parents. The Period of PURPLE Crying Program is one such resource that could be implemented in Ireland.


Assuntos
Maus-Tratos Infantis/prevenção & controle , Traumatismos Craniocerebrais/prevenção & controle , Educação em Saúde/organização & administração , Síndrome do Bebê Sacudido/prevenção & controle , Choro , Humanos , Lactente , Recém-Nascido , Irlanda , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Medição de Risco
7.
Tohoku J Exp Med ; 255(1): 79-89, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34588376

RESUMO

In Japan, reports on the association of individual characteristics, and geographical distance and time with clinical outcomes for neurological emergencies involving helicopter emergency medical services (HEMS) are scarce. Using Tochigi HEMS data (2010-2018), we assessed the characteristics of 1,170 emergency neurological patients (e.g., stroke, neurotrauma, and seizure) at the base hospital, which covered 58% of all HEMS patients in the prefecture. After initial treatment in the emergency room, emergency physicians confirmed the clinical outcomes of each patient compared to those at the incident sites (recovery/non-recovery). We calculated the geographic distance from the base hospital to each incident site, and estimated and adjusted odds ratios (aOR) and 95% confidence intervals (CI) for non-recovery against distance. The mean distance between the incident site and base hospital was 22.0 ± 11.7 km, and 77.4% of patients recovered following initial treatment. Two peak age groups were observed among emergency neurological diseases, including seizures in patients who were aged < 5 years and stroke and neurotrauma in patients who were aged 70-80 years. The percentages of stroke, traumatic head and brain injury, and seizure were 35.8%, 29.2%, and 22.8%, respectively. The incidence of stroke (aOR = 11.8, 95% CI 6.86-20.3) and neurotrauma (aOR = 4.86, 95% CI 2.78-8.51) independently predicted a poor prognosis. However, no significant association was observed with the distance from the base hospital. Therefore, in the Tochigi prefecture, geographical disparities may not affect the short-term prognosis of patients with neurological emergencies who were transported by HEMS.


Assuntos
Resgate Aéreo , Serviços Médicos de Emergência , Doenças do Sistema Nervoso/terapia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Traumatismos Craniocerebrais/epidemiologia , Traumatismos Craniocerebrais/terapia , Emergências , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças do Sistema Nervoso/epidemiologia , Prognóstico , Estudos Retrospectivos , Convulsões/epidemiologia , Convulsões/terapia , Acidente Vascular Cerebral/epidemiologia , Acidente Vascular Cerebral/terapia , Fatores de Tempo , Adulto Jovem
9.
Am J Case Rep ; 22: e931615, 2021 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-34521803

RESUMO

BACKGROUND Calvarial epidermoid cysts (EC) are encased remnants of ectoderm at the third week of gestation. There are also reports which consider them sequelae of head trauma. They are benign lesions. As they develop, they exert a mass effect to adjacent anatomical structures. CASE REPORT We report the case of a 58-year-old male patient with left-sided exophthalmos. His radiologic examinations depicted an oval cystic lesion (7×5×5.5 cm) arising from the left frontal bone and abutting the ipsilateral orbital roof. Our patient underwent a total extirpation of the lesion through a frontal craniectomy. Cranioplasty was then performed with a Porex® graft. The pearl-hued lamellae of the lesion macroscopically resembled keratin tissue. Histopathological findings supported the diagnosis of an epidermoid cyst. Postoperatively, our patient had no neurologic deficits and a computed tomography scan showed no residual effects. CONCLUSIONS Large calvarial EC with intraorbital expansion in adults are rare clinical entities. Gross total resection with the infiltrated bone and cranioplasty is the treatment of choice, which also establishes the diagnosis.


Assuntos
Traumatismos Craniocerebrais , Cisto Epidérmico , Exoftalmia , Craniotomia , Cisto Epidérmico/diagnóstico por imagem , Cisto Epidérmico/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X
10.
Pan Afr Med J ; 39: 153, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34539950

RESUMO

Carotid-cavernous fistula is an abnormal communication between the carotid artery and the cavernous sinus. It is most commonly due to congenital arteriovenous malformations but it can also be caused by a trauma. It is a rare disease which can give rise to visual and life-threatening consequences. We here report the case of a young female patient aged 34 years who had been victim of road accident with craniofacial and lower limb trauma two years before her admission. Left exophthalmos with slowly progressive evolution occurred one year after road accident without other associated signs, revealing left carotid-cavernous fistula. What is peculiar about this case is the relatively long delay between the trauma, the onset of exophthalmos and the diagnosis of post-traumatic carotid-cavernous fistula.


Assuntos
Fístula Carotidocavernosa/diagnóstico , Traumatismos Craniocerebrais/complicações , Exoftalmia/etiologia , Acidentes de Trânsito , Adulto , Fístula Carotidocavernosa/etiologia , Feminino , Humanos , Fatores de Tempo
11.
Artigo em Russo | MEDLINE | ID: mdl-34486862

RESUMO

The specificity of course of acute period of craniocerebral injury and organization of medical care support are the factors determining outcomes for this category of patients. The purpose of the study is to investigate changes in predictors of course of acute period course of craniocerebral injury under implementation of stream model of medical care organization. The sampling included 150 patients with moderate and severe craniocerebral injury based on data obtained in 2013 and 2019, respectively. The clinical characteristics of patients (gender, age, level of consciousness, alcoholic intoxication, type of injury) and the characteristics of organization of medical care (mode of admission, qualification of hospital physician, time prior to surgery intervention) were evaluated. The selection of predictors significant for prognosis of outcomes of acute period of craniocerebral injury was implemented on the basis of logit-regression analysis and artificial neural network technology. The sampling of patients was divided into groups on the basis of outcomes of acute period of craniocerebral injury. The groups with relatively favorable and unfavorable course of acute period of craniocerebral injury were identified. It is demonstrated that prior to implementation of stream model of medical care provision, the most significant factors determining outcomes of the acute period of craniocerebral injury were characteristics of organization of medical care of these patients. After implementation of stream model the leading predictors became clinical characteristics of patients.


Assuntos
Traumatismos Craniocerebrais , Rios , Traumatismos Craniocerebrais/diagnóstico , Traumatismos Craniocerebrais/epidemiologia , Traumatismos Craniocerebrais/terapia , Hospitalização , Humanos , Prognóstico
12.
Pediatr Emerg Med Pract ; 18(Suppl 8): 1-39, 2021 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-34423962

RESUMO

Trauma is the leading cause of death in the pediatric population and is among the most common reasons for ED visits by children. Imaging is an important tool for the diagnosis and management of pediatric trauma, but there are risks associated with exposure to ionizing radiation. In pediatric head and neck injuries, clinical findings and clinical decision tools can help inform selection of the most appropriate imaging modalities for the trauma patient, while also reducing unnecessary radiation exposure. This supplement reviews evidence-based recommendations for imaging decisions and interpretations in skull fractures, traumatic brain injuries, abusive head trauma, cervical spine injuries, and facial bone fractures. Examples demonstrating imaging modalities and specific findings for the types of injuries are also provided.


Assuntos
Regras de Decisão Clínica , Traumatismos Craniocerebrais/diagnóstico por imagem , Lesões do Pescoço/diagnóstico por imagem , Variação Anatômica , Criança , Maus-Tratos Infantis , Traumatismos Craniocerebrais/complicações , Medicina Baseada em Evidências , Humanos , Lesões do Pescoço/complicações , Exposição à Radiação
13.
BMJ Case Rep ; 14(8)2021 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-34429290

RESUMO

Penetrating trauma due to nail gun is an uncommon yet important clinical entity. There are numerous case reports describing these injuries, yet few describe those resulting in cerebrovascular injury. Laceration of cerebral blood vessels may result in significant intracranial haemorrhage and cerebral ischaemia, with catastrophic consequences. In the present study, we report a female patient who was shot in the face with a nail gun in a domestic assault. The nail entered her right cavernous sinus and lacerated her right internal carotid artery causing a pseudoaneurysm and a caroticocavernous fistula. This report details the approach to, and pitfalls of, managing a cerebrovascular injury due to penetrating intracranial nail. Catheter cerebral angiography is essential in the diagnosis and treatment of these injuries. Best treatment and outcomes require clinicians with expertise in endovascular and surgical repair strategies.


Assuntos
Falso Aneurisma , Fístula Carotidocavernosa , Traumatismos Craniocerebrais , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/etiologia , Falso Aneurisma/cirurgia , Artéria Carótida Interna/diagnóstico por imagem , Artéria Carótida Interna/cirurgia , Fístula Carotidocavernosa/diagnóstico por imagem , Fístula Carotidocavernosa/etiologia , Fístula Carotidocavernosa/cirurgia , Angiografia Cerebral , Feminino , Humanos
14.
No Shinkei Geka ; 49(4): 909-913, 2021 Jul.
Artigo em Japonês | MEDLINE | ID: mdl-34376623

RESUMO

In this case report, we describe a rare case of anterior cranial fossa dural arteriovenous fistula(ACF-dAVF)that had drained into the fronto-basal vein and refluxed to the superficial middle cerebral vein(SMCV). A 45-year-old man presented with aphasia and swelling of the left eye after head trauma. MRI detected a flow void in the left frontal basal area, and digital subtraction angiography revealed ACF-dAVF, which was fed from the ophthalmic arteries on both sides and had a shunt point within the left front basal dura. It drained into the left front basal vein and refluxed to the left SMCV via the cavernous sinus. Aphasia occurred due to the reflux of the SMCV. We treated the patient with transcatheter arterial embolization(TAE)by injecting n-butyl-2-cyanoacrylate(NBCA)into the shunt point. Immediately after TAE, the aphasia and swelling of the left eye of the patient improved. Cases of ACF-dAVF that drain not into the frontal cortical veins but into the fronto-basal vein and SMCV are relatively rare. As ACF-dAVF occasionally causes frontal symptoms such as aphasia, we should carefully investigate such patients and consider the presence of ACF-dAVF.


Assuntos
Afasia , Malformações Vasculares do Sistema Nervoso Central , Traumatismos Craniocerebrais , Afasia/etiologia , Malformações Vasculares do Sistema Nervoso Central/complicações , Malformações Vasculares do Sistema Nervoso Central/diagnóstico por imagem , Malformações Vasculares do Sistema Nervoso Central/cirurgia , Fossa Craniana Anterior , Traumatismos Craniocerebrais/complicações , Traumatismos Craniocerebrais/diagnóstico por imagem , Drenagem , Humanos , Masculino , Pessoa de Meia-Idade
15.
J Med Case Rep ; 15(1): 404, 2021 Aug 13.
Artigo em Inglês | MEDLINE | ID: mdl-34384492

RESUMO

BACKGROUND: A high-grade pancreatic injury is a life-threatening injury that is associated with high mortality and morbidity. It is currently unclear which treatment strategy results in good clinical outcomes. CASE PRESENTATION: A 23-year-old Japanese woman sustained severe injury in a motor vehicle accident. Abdominal computed tomography revealed severe pancreatic head injury with extravasation of contrast media. Since it was not possible to insert an endoscopic pancreatic stenting tube into the main pancreatic duct, damage control surgery was performed. On day 3, we could insert the endoscopic pancreatic stenting tube from the ampulla of Vater and an endoscopic nasopancreatic drainage tube in the distal pancreatic duct from the accessory ampulla before the second operation. Drainage tubes were placed around the pancreatic head in the second operation. The endoscopic nasopancreatic drainage tube tube was converted to endoscopic pancreatic stenting tube on day 9. On day 51, the patient was discharged on foot from our hospital without serious complications. CONCLUSION: Early and effective hemostasis, staged pancreatic duct drainage with stenting, and surgical external drainage around the pancreas in combination with an endoscopic procedure and damage control surgery were considered appropriate therapeutic strategy for high-grade pancreatic injury.


Assuntos
Traumatismos Abdominais , Traumatismos Craniocerebrais , Pancreatopatias , Adulto , Colangiopancreatografia Retrógrada Endoscópica , Drenagem , Feminino , Humanos , Pâncreas/diagnóstico por imagem , Pâncreas/cirurgia , Ductos Pancreáticos/diagnóstico por imagem , Ductos Pancreáticos/cirurgia , Stents , Adulto Jovem
16.
J Indian Prosthodont Soc ; 21(3): 311-315, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34380821

RESUMO

Defects of the cranial vault can result from the decompressive craniectomy secondary to trauma, cerebral infections, resection of intracranial processes, or bone invading skin tumors. Reconstruction of the cranial vault not only provides protection and esthetic reasons but also maintains and restores physiological circulatory system of the cerebrum essential for the regulation of intracranial pressure. This paper presents prosthetic rehabilitation of two patients, who suffered head injury resulting in extensive frontoparieto temporal defects that induced symptoms such as headache, fatigue, loss of concentration, loss of memory, and depression. Along with the physical dysfunction and disfigurement, the injury resulted in a deep psychological impact on overall well-being and self-esteem of the patient as well as the close family members. The patients were prosthetically rehabilitated with custom-made heat polymerized polymethyl methacrylate cranial prosthesis and the assessment of postrehabilitation outcome was done using a specific measurement tool; key behaviors change inventory (KBCI) a 64-item questionnaire that evaluates executive, interpersonal, and emotional functioning behaviors following traumatic brain injury. Rehabilitation resulted in the restoration of form, function, and esthetics along with the improvement in psychological status and general health as reflected in KBCI scores posttreatment. Based on the posttreatment scores obtained in the cases under study, it is suggested that KBCI may serve as an important prognostic tool for the assessment of treatment outcomes.


Assuntos
Traumatismos Craniocerebrais , Crânio , Emoções , Humanos , Pressão Intracraniana , Crânio/diagnóstico por imagem , Resultado do Tratamento
17.
Malawi Med J ; 33(1): 1-6, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-34422227

RESUMO

Introduction: Injuries are a leading cause of morbidity and mortality worldwide, necessitating that we understand the local burden of injury to improve injury-related trauma care and patient outcomes. The characteristics, outcomes, and risk factors for mortality following stab wounds in Malawi are poorly delineated. Methods: This is a retrospective, descriptive analysis of patients presenting to Kamuzu Central Hospital in Lilongwe, Malawi, with stab wounds from February 2008 to May 2018. Univariate and bivariate analyses were performed to compare patient and injury characteristics based on mortality. We performed Poisson multivariate regression to predict the factors that increase the relative risk of mortality. Results: During the study, 32,297 patients presented with assault. Of those patients, 2,352 (7.3%) presented with stab wounds resulting in a 3.2% (n=74) overall mortality. The majority of wounds were to the head or cervical spine (n=1,043, 44.6%), while injuries to the chest (n=319, 13.7%) were less frequent. We found an increased relative risk of mortality in patients who presented with an injury to the chest (RR 3.95, 95% CI 1.79-8.72, p=0.001) and who were brought in by the police (RR 33.24, 95% CI 11.23-98.35, p<0.001). Conclusion: In this study, stab wounds accounted for 7.3% of all assault cases, with a 3.2% mortality. Though the commonest site of stab was the head, wounds to the chest conferred the highest relative risk of mortality. A multifaceted approach to reducing mortality is needed. Incorporating training of first responders in basic life support, including the police, may reduce stab-related mortality.


Assuntos
Mortalidade Hospitalar , Ferimentos e Lesões/mortalidade , Ferimentos Perfurantes/epidemiologia , Traumatismos Abdominais/epidemiologia , Adulto , Traumatismos Craniocerebrais/epidemiologia , Humanos , Escala de Gravidade do Ferimento , Malaui/epidemiologia , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Traumatismos Torácicos/epidemiologia , Ferimentos Perfurantes/mortalidade , Adulto Jovem
18.
Fa Yi Xue Za Zhi ; 37(3): 344-350, 2021 Jun.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-34379903

RESUMO

Abstract: Objective Based on the theory of biomechanics, the finite element method was used to study the injury characteristics of different parts of brain hit by fist with different force and to predict the risk of craniocerebral injury, in order to provide reference for actual medical protection and forensic identification. Methods The finite element model of fist was constructed by using DICOM data modeling method and related software, and the effective mass and speed of fist were used to represent the kinetic energy of fist, and combined with human finite element model THUMS 4.02, the characteristics of craniocerebral injury caused by frontal and lateral blows were parametrically simulated. Results The probability of direct death from a blow to the head was low, but as fist power increased, so did the risk of craniocerebral injury. The characteristics of craniocerebral injury were also significantly different with the different fist hitting head locations. When the frontal area was attacked, the maximum equivalent stress of skull was 122.40 MPa, while that of brain tissue was 4.31 kPa. When the temporal area was attacked, the maximum equivalent stress of skull was 71.53 MPa, while that of brain tissue was 7.09 kPa. Conclusion The characteristics and risks of skull fracture and brain tissue injury are different when different parts of the brain are hit by fist. When the frontal area is hit, the risk of skull fracture is significantly higher than when the temporal area is hit. The risk of brain tissue injury is the opposite. The position with the highest probability of skull fracture is generally the place where the skull is directly impacted, and with the conduction of stress waves, it will spread to other parts of the skull, while the position with the highest risk of brain tissue injury is not the place where the brain is directly impacted.


Assuntos
Traumatismos Craniocerebrais , Fraturas Cranianas , Fenômenos Biomecânicos , Traumatismos Craniocerebrais/etiologia , Análise de Elementos Finitos , Cabeça , Humanos , Crânio , Fraturas Cranianas/etiologia
19.
Pan Afr Med J ; 38: 399, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34381543

RESUMO

Decompressive craniectomy is a surgical technique considered to be the last step in the management of intracranial hypertension. The objective of our study was to evaluate our results in the management of intracranial hypertension by decompressive craniectomy. This was a retrospective study of 24 cases of decompressive craniectomy performed over a 9-year period (from January 2010 to December 2019) at the Fann Neurosurgery Clinic. The mean age of the patients was 33.82 years, there was a male predominance with a sex ratio of 2.42. The most frequent indication was severe cranioencephalic trauma with 50%. The cerebral computed tomography (CT) scan was the key examination and was performed in all our patients. Complications were entirely infectious and were the cause of 73.33% of deaths. Thirty-five percent of the patients had received prior treatment before the decompressive craniectomy. The functional prognosis was good in 44.44% of cases, moderate in 33.33% of cases, 1 (11.11%) patient had a severe disability and 1 (11.11%) patient was in a vegetative state. Mortality rate was 62.5% of patients in our study series. Despite the lack of sophisticated techniques for diagnosis and monitoring of intracranial hypertension, our results remain acceptable with 37.5% survival. The early completion of this surgery allows us to be more efficient with a significant reduction in morbidity and mortality.


Assuntos
Traumatismos Craniocerebrais/complicações , Craniectomia Descompressiva/métodos , Hipertensão Intracraniana/cirurgia , Adolescente , Adulto , Criança , Pré-Escolar , Craniectomia Descompressiva/mortalidade , Feminino , Hospitais Universitários , Humanos , Lactente , Hipertensão Intracraniana/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Senegal , Taxa de Sobrevida , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Adulto Jovem
20.
Pediatr Clin North Am ; 68(4): 743-757, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34247706

RESUMO

There are a wide variety of scalp and skull lesions that can affect the pediatric population, many of which are first encountered by primary care physicians. The differential consists of a broad range of more common congenital lesions, sequelae of trauma, and vascular anomalies, to very rare neoplastic processes. It is important to understand signs and symptoms that may indicate whether a lesion may be benign versus life threatening, what imaging studies are appropriate and how to interpret them, and when to seek referrals to specialists.


Assuntos
Traumatismos Craniocerebrais/cirurgia , Neoplasias de Cabeça e Pescoço/cirurgia , Procedimentos Neurocirúrgicos/métodos , Atenção Primária à Saúde/organização & administração , Couro Cabeludo/cirurgia , Neoplasias da Base do Crânio/cirurgia , Criança , Traumatismos Craniocerebrais/patologia , Neoplasias de Cabeça e Pescoço/patologia , Humanos , Neurocirurgia , Couro Cabeludo/patologia , Neoplasias da Base do Crânio/patologia
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...