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Frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran
Abstract Traumatic brain injury is a major cause of morbidity, disability and mortality in patients with head injury. The aim of this study was to elucidate the frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran. In this analytical cross-sectional s...
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| Published in: | Journal of forensic and legal medicine 2014-11, Vol.28, p.36-38 |
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| creator | Aghakhani, Kamran Heidari, Mansoure Yousefinejad, Vahid Okazi, Arash |
| description | Abstract Traumatic brain injury is a major cause of morbidity, disability and mortality in patients with head injury. The aim of this study was to elucidate the frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran. In this analytical cross-sectional study, we investigated 187 cadavers who died due to head trauma in motor vehicle accident or after falling in Tehran from November 2013 to February 2014. Age, sex, mechanism of trauma, scalp injury, sub-scalp bruising, skull fracture, hemorrhage including subdural hemorrhage (SDH), epidural hemorrhage (EDH), subarachnoid hemorrhage (SAH) and contusion were recorded from examination and autopsy. One hundred and eighty seven cadavers (165 (88.2%) male and 22 (11.8%) female) with head injury with the mean age of 36.14 years (SD = 15) were recruited in this study. Mechanism of trauma was motor vehicle accident in 147 (78.6%) cadavers and falling in 40 (21.4%) cadavers. One hundred and fifty eight (84.5%) had SDH, 44 (23.5%) had EDH, 162 (86.6%) had SAH and 139 (74.3%) had contusion. Hemorrhage was seen in 132 (93%) cadavers who had scalp injury and 36 (80%) cadavers who did not have scalp injury ( p = 0.01). Overall, 168 (89.8%) cadavers had hemorrhage and 139 (74.3%) had contusion. There was a significant correlation between intracranial injuries and scalp injury ( p |
| doi_str_mv | 10.1016/j.jflm.2014.09.009 |
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The aim of this study was to elucidate the frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran. In this analytical cross-sectional study, we investigated 187 cadavers who died due to head trauma in motor vehicle accident or after falling in Tehran from November 2013 to February 2014. Age, sex, mechanism of trauma, scalp injury, sub-scalp bruising, skull fracture, hemorrhage including subdural hemorrhage (SDH), epidural hemorrhage (EDH), subarachnoid hemorrhage (SAH) and contusion were recorded from examination and autopsy. One hundred and eighty seven cadavers (165 (88.2%) male and 22 (11.8%) female) with head injury with the mean age of 36.14 years (SD = 15) were recruited in this study. Mechanism of trauma was motor vehicle accident in 147 (78.6%) cadavers and falling in 40 (21.4%) cadavers. One hundred and fifty eight (84.5%) had SDH, 44 (23.5%) had EDH, 162 (86.6%) had SAH and 139 (74.3%) had contusion. Hemorrhage was seen in 132 (93%) cadavers who had scalp injury and 36 (80%) cadavers who did not have scalp injury ( p = 0.01). Overall, 168 (89.8%) cadavers had hemorrhage and 139 (74.3%) had contusion. There was a significant correlation between intracranial injuries and scalp injury ( p < 0.05). There was not a significant correlation between EDH and scalp injury ( p = 0.52). Consequently, in patients with head trauma, complete examination should be performed but absence of findings in examination cannot exclude intracranial injury.</description><identifier>ISSN: 1752-928X</identifier><identifier>EISSN: 1878-7487</identifier><identifier>DOI: 10.1016/j.jflm.2014.09.009</identifier><identifier>PMID: 25440145</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adult ; Age Factors ; Autopsies ; Brain damage ; Brain Injuries - epidemiology ; Brain injury ; Cadaver ; Craniocerebral Trauma - epidemiology ; Cross-Sectional Studies ; Female ; Forensic hematology ; Glasgow Coma Scale ; Head trauma ; Hemorrhage ; Human remains ; Humans ; Intracranial hemorrhage ; Intracranial Hemorrhage, Traumatic - epidemiology ; Iran - epidemiology ; Male ; Middle Aged ; Pathology ; Scalp - injuries ; Scalp injury ; Sex Factors ; Skull Fractures - epidemiology ; Trauma care</subject><ispartof>Journal of forensic and legal medicine, 2014-11, Vol.28, p.36-38</ispartof><rights>Elsevier Ltd and Faculty of Forensic and Legal Medicine</rights><rights>2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine</rights><rights>Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.</rights><rights>Copyright Churchill Livingstone Inc., Medical Publishers Nov 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-10e9b0ce6cfaa572f86a40771f1c99d23f13475989f018d1e3cb5e8d5fde44dc3</citedby><cites>FETCH-LOGICAL-c439t-10e9b0ce6cfaa572f86a40771f1c99d23f13475989f018d1e3cb5e8d5fde44dc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25440145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aghakhani, Kamran</creatorcontrib><creatorcontrib>Heidari, Mansoure</creatorcontrib><creatorcontrib>Yousefinejad, Vahid</creatorcontrib><creatorcontrib>Okazi, Arash</creatorcontrib><title>Frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran</title><title>Journal of forensic and legal medicine</title><addtitle>J Forensic Leg Med</addtitle><description>Abstract Traumatic brain injury is a major cause of morbidity, disability and mortality in patients with head injury. The aim of this study was to elucidate the frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran. In this analytical cross-sectional study, we investigated 187 cadavers who died due to head trauma in motor vehicle accident or after falling in Tehran from November 2013 to February 2014. Age, sex, mechanism of trauma, scalp injury, sub-scalp bruising, skull fracture, hemorrhage including subdural hemorrhage (SDH), epidural hemorrhage (EDH), subarachnoid hemorrhage (SAH) and contusion were recorded from examination and autopsy. One hundred and eighty seven cadavers (165 (88.2%) male and 22 (11.8%) female) with head injury with the mean age of 36.14 years (SD = 15) were recruited in this study. Mechanism of trauma was motor vehicle accident in 147 (78.6%) cadavers and falling in 40 (21.4%) cadavers. One hundred and fifty eight (84.5%) had SDH, 44 (23.5%) had EDH, 162 (86.6%) had SAH and 139 (74.3%) had contusion. Hemorrhage was seen in 132 (93%) cadavers who had scalp injury and 36 (80%) cadavers who did not have scalp injury ( p = 0.01). Overall, 168 (89.8%) cadavers had hemorrhage and 139 (74.3%) had contusion. There was a significant correlation between intracranial injuries and scalp injury ( p < 0.05). There was not a significant correlation between EDH and scalp injury ( p = 0.52). Consequently, in patients with head trauma, complete examination should be performed but absence of findings in examination cannot exclude intracranial injury.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Autopsies</subject><subject>Brain damage</subject><subject>Brain Injuries - epidemiology</subject><subject>Brain injury</subject><subject>Cadaver</subject><subject>Craniocerebral Trauma - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Forensic hematology</subject><subject>Glasgow Coma Scale</subject><subject>Head trauma</subject><subject>Hemorrhage</subject><subject>Human remains</subject><subject>Humans</subject><subject>Intracranial hemorrhage</subject><subject>Intracranial Hemorrhage, Traumatic - epidemiology</subject><subject>Iran - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pathology</subject><subject>Scalp - injuries</subject><subject>Scalp injury</subject><subject>Sex Factors</subject><subject>Skull Fractures - epidemiology</subject><subject>Trauma care</subject><issn>1752-928X</issn><issn>1878-7487</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kkuLFTEQhYMozkP_gAtpcOOm2ySd3CQgwjA4ozDgwhHchdykwk3bj2vSPXL_vdXe8cEsXFUSvnNI1SlCXjDaMMo2b7qmi_3QcMpEQ01DqXlETplWulZCq8d4VpLXhuuvJ-SslI5SKbiST8kJl0KgSp4SuMrwfYHRH6opVmmcs_PZjcn1eOmWfMBSeRfcHeRS_UjzrtqBCxVyy-COD24Mvw7TMlfFu37_j_QWdmj3jDyJri_w_L6eky9X728vP9Q3n64_Xl7c1F60Zq4ZBbOlHjY-OicVj3rjBFWKReaNCbyNrBVKGm0iZTowaP1Wgg4yBhAi-PacvD767vOEXZXZDql46Hs3wrQUyzbcGIXNc0RfPUC7ackj_m6lNMcPtRQpfqR8nkrJEO0-p8Hlg2XUriHYzq4h2DUES43FEFD08t562Q4Q_kh-Tx2Bt0cAcBZ3CbItPmEGEFIGP9swpf_7v3sg930aE07-Gxyg_O3DFm6p_byuwboFTFB0NG37EydLrek</recordid><startdate>20141101</startdate><enddate>20141101</enddate><creator>Aghakhani, Kamran</creator><creator>Heidari, Mansoure</creator><creator>Yousefinejad, Vahid</creator><creator>Okazi, Arash</creator><general>Elsevier Ltd</general><general>Churchill Livingstone Inc., Medical Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20141101</creationdate><title>Frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran</title><author>Aghakhani, Kamran ; Heidari, Mansoure ; Yousefinejad, Vahid ; Okazi, Arash</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-10e9b0ce6cfaa572f86a40771f1c99d23f13475989f018d1e3cb5e8d5fde44dc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Autopsies</topic><topic>Brain damage</topic><topic>Brain Injuries - epidemiology</topic><topic>Brain injury</topic><topic>Cadaver</topic><topic>Craniocerebral Trauma - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Forensic hematology</topic><topic>Glasgow Coma Scale</topic><topic>Head trauma</topic><topic>Hemorrhage</topic><topic>Human remains</topic><topic>Humans</topic><topic>Intracranial hemorrhage</topic><topic>Intracranial Hemorrhage, Traumatic - epidemiology</topic><topic>Iran - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pathology</topic><topic>Scalp - injuries</topic><topic>Scalp injury</topic><topic>Sex Factors</topic><topic>Skull Fractures - epidemiology</topic><topic>Trauma care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aghakhani, Kamran</creatorcontrib><creatorcontrib>Heidari, Mansoure</creatorcontrib><creatorcontrib>Yousefinejad, Vahid</creatorcontrib><creatorcontrib>Okazi, Arash</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of forensic and legal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aghakhani, Kamran</au><au>Heidari, Mansoure</au><au>Yousefinejad, Vahid</au><au>Okazi, Arash</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran</atitle><jtitle>Journal of forensic and legal medicine</jtitle><addtitle>J Forensic Leg Med</addtitle><date>2014-11-01</date><risdate>2014</risdate><volume>28</volume><spage>36</spage><epage>38</epage><pages>36-38</pages><issn>1752-928X</issn><eissn>1878-7487</eissn><abstract>Abstract Traumatic brain injury is a major cause of morbidity, disability and mortality in patients with head injury. The aim of this study was to elucidate the frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran. In this analytical cross-sectional study, we investigated 187 cadavers who died due to head trauma in motor vehicle accident or after falling in Tehran from November 2013 to February 2014. Age, sex, mechanism of trauma, scalp injury, sub-scalp bruising, skull fracture, hemorrhage including subdural hemorrhage (SDH), epidural hemorrhage (EDH), subarachnoid hemorrhage (SAH) and contusion were recorded from examination and autopsy. One hundred and eighty seven cadavers (165 (88.2%) male and 22 (11.8%) female) with head injury with the mean age of 36.14 years (SD = 15) were recruited in this study. Mechanism of trauma was motor vehicle accident in 147 (78.6%) cadavers and falling in 40 (21.4%) cadavers. One hundred and fifty eight (84.5%) had SDH, 44 (23.5%) had EDH, 162 (86.6%) had SAH and 139 (74.3%) had contusion. Hemorrhage was seen in 132 (93%) cadavers who had scalp injury and 36 (80%) cadavers who did not have scalp injury ( p = 0.01). Overall, 168 (89.8%) cadavers had hemorrhage and 139 (74.3%) had contusion. There was a significant correlation between intracranial injuries and scalp injury ( p < 0.05). There was not a significant correlation between EDH and scalp injury ( p = 0.52). Consequently, in patients with head trauma, complete examination should be performed but absence of findings in examination cannot exclude intracranial injury.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>25440145</pmid><doi>10.1016/j.jflm.2014.09.009</doi><tpages>3</tpages></addata></record> |
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| ispartof | Journal of forensic and legal medicine, 2014-11, Vol.28, p.36-38 |
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| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Adult Age Factors Autopsies Brain damage Brain Injuries - epidemiology Brain injury Cadaver Craniocerebral Trauma - epidemiology Cross-Sectional Studies Female Forensic hematology Glasgow Coma Scale Head trauma Hemorrhage Human remains Humans Intracranial hemorrhage Intracranial Hemorrhage, Traumatic - epidemiology Iran - epidemiology Male Middle Aged Pathology Scalp - injuries Scalp injury Sex Factors Skull Fractures - epidemiology Trauma care |
| title | Frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran |
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