外傷性脳幹出血

WordNet

grow out of, have roots in, originate in; "The increase in the national debt stems from the last war"
stop the flow of a liquid; "staunch the blood flow"; "stem the tide" (同)stanch, staunch, halt
remove the stem from; "for automatic natural language processing, the words must be stemmed"
the tube of a tobacco pipe
cause to point inward; "stem your skis"
kill by smashing someones skull
mental ability; "hes got plenty of brains but no common sense" (同)brainpower, learning_ability, mental capacity, mentality, wit
that part of the central nervous system that includes all the higher nervous centers; enclosed within the skull; continuous with the spinal cord (同)encephalon
the brain of certain animals used as meat
hit on the head
psychologically painful;"few experiences are more traumatic than losing a child";
of or relating to a physical injury or wound to the body

PrepTutorEJDIC

(草の)『茎』,(木の)『幹』 / 葉柄,花梗(かこう) / 『茎状のもの』;(杯・グラスの)『脚』,(パイプ・さじの)柄,(時計の)りゅうず / (単語の)語幹,語根 / 船首;船首材 / …‘の'茎(軸)を取り去る,へたをとる / (…から)生じる,(…に)由来する《+『from』+『名』(do『ing』)》
〈流れなど〉‘を'止める / 〈風・水流など〉‘に'逆らって進む,抵抗する / 〈攻撃・反対など〉‘を'くい止める,押さえる
『脳』,脳髄 / 《しばしば複数形で》『頭脳』,『知力』 / 《話》秀才,知的指導者 / …‘の'頭を打ち砕く
外傷性の;精神的損傷の
出血,(特に)大量出血 / 多量に出血する

UpToDate Contents

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1. 動脈瘤性くも膜下出血の病因、臨床症状、および診断 etiology clinical manifestations and diagnosis of aneurysmal subarachnoid hemorrhage
2. 児童虐待：幼児および小児における虐待による頭部外傷の疫学、機序、種類 child abuse epidemiology mechanisms and types of abusive head trauma in infants and children
3. 脳振盪および軽度外傷性脳損傷 concussion and mild traumatic brain injury
4. 特発性脳出血：病因、臨床的特徴、および診断 spontaneous intracerebral hemorrhage pathogenesis clinical features and diagnosis
5. 児童虐待：幼児および小児における虐待による頭部外傷の評価および診断 child abuse evaluation and diagnosis of abusive head trauma in infants and children

English Journal

Validation of a new neurological score (FOUR Score) in the assessment of neurosurgical patients with severely impaired consciousness.

Chen B1, Grothe C, Schaller K.Author information 1Department of Neurosurgery, University of Bonn Medical Center, Bonn, Germany.AbstractBACKGROUND: The Glasgow coma scale (GCS) was introduced as a scoring system for patients with impaired consciousness after traumatic brain injury (TBI). Since, it has become the worldwide standard in TBI assessment. The GCS has repeatedly been criticized for its several failures to reflect verbal reaction in intubated patients, and to test brain stem reflexes. Recently, the full outline of unresponsiveness (FOUR) score was introduced, which is composed of four clinically distinct categories of evaluation: eye reaction, motor function, brainstem reflexes and respiratory pattern. This study aims to validate the FOUR score in neurosurgical patients.
Acta neurochirurgica.Acta Neurochir (Wien).2013 Nov;155(11):2133-9; discussion 2139. doi: 10.1007/s00701-013-1854-2. Epub 2013 Sep 8.
BACKGROUND: The Glasgow coma scale (GCS) was introduced as a scoring system for patients with impaired consciousness after traumatic brain injury (TBI). Since, it has become the worldwide standard in TBI assessment. The GCS has repeatedly been criticized for its several failures to reflect verbal re
PMID 24013867

Holmes tremor after brainstem hemorrhage, treated with levodopa.

Woo JH1, Hong BY, Kim JS, Moon SH, Kim SY, Han HY, Park DY, Lim SH.Author information 1Department of Rehabilitation Medicine, St. Vincent Hospital, The Catholic University of Korea College of Medicine, Suwon, Korea.AbstractHolmes tremor is a rare movement phenomenon, with atypical low-frequency tremor at rest and when changing postures, often related to brainstem pathology. We report a 70-year-old female patient who was presented with dystonic head and upper limb tremor after brainstem hemorrhage. The patient had experienced a sudden onset of left hemiparesis and right facial paralysis. Brain magnetic resonance imaging showed an acute hemorrhage from the brachium pontis through the dorsal midbrain on the right side. Several months later, the patient developed resting tremor of the head and left arm, which was exacerbated by a sitting posture and intentional movement. The tremor showed a regular low-frequency (1-2 Hz) for the bilateral sternocleidomastoid and cervical paraspinal muscles at rest. The patient's symptoms did not respond to propranolol or clonazepam, but gradually improved with levodopa administration. Although various remedies were attempted, overall, the results were poor. We suggest that levodopa might be a useful remedy for Holmes tremor. The curative or relieving effect of the dopaminergic agent in Holmes tremor needs more research.
Annals of rehabilitation medicine.Ann Rehabil Med.2013 Aug;37(4):591-4. doi: 10.5535/arm.2013.37.4.591. Epub 2013 Aug 26.
Holmes tremor is a rare movement phenomenon, with atypical low-frequency tremor at rest and when changing postures, often related to brainstem pathology. We report a 70-year-old female patient who was presented with dystonic head and upper limb tremor after brainstem hemorrhage. The patient had expe
PMID 24020044

[Modified tracheostomy management: a protocol for the application of stoma buttons in difficult decannulations].

Frank U1, Czepluch C, Sticher H, Mätzener F, Schlaegel W, Mäder M.Author information 1Schluckzentrum, REHAB Basel, Schweiz. ufrank@uni-potsdam.deAbstractCurrent approaches to decannulation management often fail to account for patients with combined swallowing and respiratory deficits. We expanded our existing weaning and decannulation protocol by adding an optional 3-day decannulation trial to evaluate readiness for decannulation. If a patient meets predefined test-decannulation criteria a tracheostomy button is inserted during a laryngoscopic examination and left in situ for up to 3 days. Before, during and after button insertion the patient's respiratory function and saliva management are closely monitored before the decision for or against permanent decannulation is made. We present evaluation criteria, protocols and flow-charts illustrating the 3-day decannulation trial as well as 2 case studies.
Die Rehabilitation.Rehabilitation (Stuttg).2013 Feb;52(1):20-6. doi: 10.1055/s-0032-1306290. Epub 2012 Jul 3.
Current approaches to decannulation management often fail to account for patients with combined swallowing and respiratory deficits. We expanded our existing weaning and decannulation protocol by adding an optional 3-day decannulation trial to evaluate readiness for decannulation. If a patient meets
PMID 22760596