WordNet
- of or relating to the cerebrum or brain; "cerebral hemisphere"; "cerebral activity"
- involving intelligence rather than emotions or instinct; "a cerebral approach to the problem"; "cerebral drama" (同)intellectual
- a torn ragged wound
- the act of lacerating
PrepTutorEJDIC
- 大脳の,脳の / 頭脳的な,知的な
- 〈U〉引き裂く(切り裂く)こと / 〈U〉(感情などを)ひどく傷つけること / 〈C〉裂傷,裂け目
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/12/04 21:22:25」(JST)
[Wiki en表示]
| Cerebral laceration |
| Classification and external resources |
| ICD-10 |
S06.2, S06.3 |
| ICD-9 |
851 |
A cerebral laceration is a type of traumatic brain injury that occurs when the tissue of the brain is mechanically cut or torn.[1] The injury is similar to a cerebral contusion; however, according to their respective definitions, the pia-arachnoid membranes are torn over the site of injury in laceration and are not torn in contusion.[2][3] Lacerations require greater physical force to cause than contusions,[1] but the two types of injury are grouped together in the ICD-9 and ICD-10 classification systems.
Contents
- 1 Signs and symptoms
- 2 Associated injuries
- 3 Prognosis
- 4 References
Signs and symptoms[edit]
A fifth of people with cerebral lacerations have a lucid interval and no significant changes in level of consciousness.[2] The level of consciousness decreases as the laceration bleeds and blood begins to build up within the skull.[2]
Associated injuries[edit]
Cerebral lacerations usually accompany other brain injuries and are often found with skull fractures on both sides of the head.[2] Frequently occurring in the same areas as contusions, lacerations are particularly common in the inferior frontal lobes and the poles of the temporal lobes.[1] When associated with diffuse axonal injury, the corpus callosum and the brain stem are common locations for laceration.[1] Lacerations are very common in penetrating and perforating head trauma and frequently accompany skull fractures; however, they may also occur in the absence of skull fracture.[1] Lacerations, which may result when brain tissue is stretched, are associated with intraparenchymal bleeding (bleeding into the brain tissue).[1]
Prognosis[edit]
A cerebral laceration with large amounts of blood apparent on a CT scan is an indicator of poor prognosis.[2] The progression and course of complications (health effects that result from but are distinct from the injury itself) do not appear to be affected by a cerebral laceration's location or a mass effect it causes.[2]
References[edit]
- ^ a b c d e f Hardman JM, Manoukian A (2002). "Pathology of Head Trauma". Neuroimaging Clinics of North America 12 (2): 175–187, vii. doi:10.1016/S1052-5149(02)00009-6. PMID 12391630.
- ^ a b c d e f Granacher RP (2007). Traumatic Brain Injury: Methods for Clinical & Forensic Neuropsychiatric Assessment, Second Edition. Boca Raton: CRC. p. 26. ISBN 0-8493-8138-X. Retrieved 2008-07-06.
- ^ Gennarelli GA, Graham DI (2005). "Neuropathology". In Silver JM, McAllister TW, Yudofsky SC. Textbook Of Traumatic Brain Injury. Washington, DC: American Psychiatric Association. p. 29. ISBN 1-58562-105-6. Retrieved 2008-06-10.
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Neurotrauma (S06, Sx4, T09.3–4, 850–854, 950–957)
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| Traumatic brain injury |
Intracranial hemorrhage/hematoma: intra-axial (Intraparenchymal hemorrhage, Intraventricular hemorrhage) · extra-axial (Subdural hematoma, Epidural hematoma, Subarachnoid hemorrhage)
Brain herniation · Cerebral contusion · Cerebral laceration
Concussion: Post-concussion syndrome · Second-impact syndrome · Dementia pugilistica · Chronic traumatic encephalopathy
Diffuse axonal injury · Shaken baby syndrome · Penetrating head injury
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| Spinal cord injury |
Cauda equina syndrome · Paraplegia · Quadriplegia
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| PNS |
Nerve injury (Peripheral nerve injury), Wallerian degeneration
Injury of accessory nerve · Brachial plexus injury · Traumatic neuroma
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anat (n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
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noco (m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
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proc, drug (N1A/2AB/C/3/4/7A/B/C/D)
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anat (h/r/t/c/b/l/s/a)/phys (r)/devp/prot/nttr/nttm/ntrp
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noco/auto/cong/tumr, sysi/epon, injr
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UpToDate Contents
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English Journal
- Acute surgical intervention for a depressed skull fracture causing a laceration to the brain parenchyma from a bite wound in a dog.
- Hodgson N1, Walters A1, Lawson C1, Hague D1, Joslyn S1, McMichael M1.
- The Canadian veterinary journal = La revue veterinaire canadienne.Can Vet J.2018 Jan;59(1):31-35.
- PMID 29302099
- Injuries associated with bunk beds that occur in jail.
- Loder RT1, Young JC2.
- Journal of forensic and legal medicine.J Forensic Leg Med.2018 Jan;53:13-16. doi: 10.1016/j.jflm.2017.10.007. Epub 2017 Oct 20.
- PMID 29101814
Japanese Journal
- Asymptomatic Carotid Artery Dissection Caused by Blunt Trauma
- FUSE Takahisa,ICHIHASI Tosikazu,MATUO Naoki
- Neurologia medico-chirurgica 48(1), 22-25, 2008-01-15
- … A 42-year-old man presented with asymptomatic traumatic carotid artery dissection 3 months after sustaining blunt injury with tracheal laceration. … Careful clinical assessment of patients with blunt cervical trauma may permit diagnosis of carotid artery dissection and intervention prior to the development of cerebral ischemic symptoms. …
- NAID 110006546734
- 頭蓋内病変に対する血行再建(<特集>困難を極めた症例・特別なテクニックを要した症例)
- 谷川 緑野,杉村 敏秀,日野 健,川崎 和凡,岩崎 素之,泉 直人,橋本 政明,橋爪 明,藤田 力,上山 博康
- 脳卒中の外科 33(4), 235-239, 2005-07-31
- 雑誌掲載版術中に予期せず生じた母血管損傷の3症例(破裂前交通動脈瘤・Hunt & Kosnik Grade IVの88歳女性,破裂右中大脳動脈瘤・Grade IIの75歳女性,鞍結節髄膜腫の53歳女性)の術中所見を呈示し解説した.自験例の経験から母血管損傷の部位によっては深部での縫合操作が必要となるため,深部縫合用の持針器などのセットは常に使用可能状態にしておく必要があるものと考えられた.静脈損傷 …
- NAID 110004042130
Related Links
- cerebral laceration Neurology Tearing of brain tissue by a sharp object; CLs may occur when the falx lacerates the corpus callosum after trauma of the brain. ... In one third of the cases, the eye injury was also related with more ...
- Learn about Cerebral Contusions and Lacerations symptoms, diagnosis and treatment in the Merck Manual. HCP and Vet versions too! ... Contusions and lacerations may be very small, causing only minimal damage to the brain ...
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