Temporal lobe lesions in head injury

Tandon, P. N. ; Prakash, B. ; Banerji, A. K. (1978) Temporal lobe lesions in head injury Acta Neurochirurgica, 41 (1-3). pp. 205-221. ISSN 0001-6268

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Official URL: http://www.springerlink.com/content/ljvh5970161m80...

Related URL: http://dx.doi.org/10.1007/BF01809150


In cases of closed head injury temporal lobe lesionse.g. contusion, laceration, pulping, or intracerebral haematoma frequently result in an expanding process. These are frequently associated with an overlying subdural haematoma. Eighty five cases of such lesions from a consecutive series of 1,000 cases of head injury have been analyzed. The lesions are caused by severe injury resulting in loss of concsiousness and skull fracture. Most of them are contre-coup lesions. Clinically they manifest themselves like any other acute or subacute intracranial hematoma. The majority of the patients have contralateral hemiparesis and pupillary abnormalities. Carotid angiography is valuable for diagnosis. These lesions are likely to be missed when exploratory burr holes are made or, are erroneously diagnosed as acute subdural haematoma or brain oedema. Smaller lesions, not showing progressive deterioration, may respond to conservative treatment. However, surgical decompression is essential in most cases. A fronto-temporal osteoplastic craniotomy or a large Scoville trephine hole is essential to deal with these lesions adequately.

Item Type:Article
Source:Copyright of this article belongs to Springer.
Keywords:Head Injury; Temporal Lobe; Contusion; Laceration; Pulping; Intracerebral Haematoma; Angiography; Temporal Lobectomy
ID Code:56853
Deposited On:25 Aug 2011 09:39
Last Modified:25 Aug 2011 09:39

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