If you have had a severe head injury and theres a chance you may have a brain injury, youll have a CT scan to assess the seriousness of the injury.. The Glasgow Coma Scale (GCS) is often used to assess head injuries. This is a scale from 3 to 15 that identifies how serious your head injury is, based on your symptoms and whether the brain has been damaged (with 3 being most severe and 15 the least severe).. A GCS score of 13 or above would indicate a minor head injury. A score of 9 to 12 would be a moderate head injury. If a person has a severe head injury, theyll have a score of 8 or less.. Some people with significant head injuries have a high GCS score initially, but their score decreases when theyre reassessed at a later stage.. If you have a severe head injury, youll be closely monitored and frequently reassessed to check your condition.. Find out how severe head injuries are diagnosed. ...
Visit our Pediatric Community Pediatric head trauma, whether it involves high-velocity impact, self-inflicted causes, or nonaccidental trauma, is a major ca...
A multicenter external validation study in 7 Tunisian teaching and non teaching hospitals including patients with MHI defined as a blunt trauma to the head within 24 hours with a Glasgow Coma Scale (GCS) score of 13 to 15 and at least one of the following: history of loss of consciousness, short-term memory deficit, amnesia for the traumatic event, post-traumatic seizure, vomiting, headache, external evidence of injury above the clavicles, confusion, and neurologic deficit. Primary outcome was need for neurosurgical intervention defined as either death or craniotomy, or the need of endotracheal intubation within 30 days of the traumatic event. Secondary outcome was the presence of traumatic lesions on head CT scan. Comparaision of both decision rules using sensitivity specifications, positive and negative predictive value ...
Minor head injuries are a common presenting complaint in the pediatric emergency department. Skull x-rays are a useful tool in the evaluation of paediatric patients with a history of minor head trauma. However, there exists ongoing controversy regarding the ideal number of views that should be obtained in a skull series. This study aims to determine if there is a significant difference in the diagnostic accuracy of skull x-rays in the diagnosis of fracture in paediatric minor head trauma patients when a 2-film series as opposed to a 4-film series is provided to participating pediatric emergency physicians.. This will be a prospective, crossover experimental study evaluating the equivalency in sensitivity and specificity of a 2-film series versus a 4-film series in the diagnosis of skull fracture associated with minor head injuries in children.. The study will involve 10 pediatric emergency physicians who will evaluate two modules of 100 series of radiography.. In order to do so, he or she will ...
The emotional characteristics of head injury patients referred for neuropsychological testing were examined as a function of the time since injury. Patients referred more than 6 months from injury were more emotionally distressed on the MMPI and Katz Adjustment Scale (relatives form) compared to those tested 6 months or earlier. The more chronic head trauma patients were more anxious and depressed, more confused in their thinking, and more socially withdrawn compared to the acute patient group. These differences in emotional functioning appeared to be independent of level of neuropsychological impairment and the initial length of coma. Premorbid personality and increased awareness of impaired functioning with the passage of time are discussed as possible mediators of enhanced emotional distress in some chronic head injury patients.. ...
Objective: To determine the statistical characteristics of blood pressure (BP) readings from a large number of head-injured patients.. Methods: The BrainIT group has collected high time-resolution physiological and clinical data from head-injured patients who require intracranial pressure (ICP) monitoring. The statistical features of this dataset of BP measurements with time resolution of 1 min from 200 patients is examined. The distributions of BP measurements and their relationship with simultaneous ICP measurements are described.. Results: The distributions of mean, systolic and diastolic readings are close to normal with modest skewing towards higher values. There is a trend towards an increase in blood pressure with advancing age, but this is not significant. Simultaneous blood pressure and ICP values suggest a triphasic relationship with a BP rising at 0.28 mm Hg/mm Hg of ICP, for ICP up to 32 mm Hg, and 0.9 mm Hg/mm Hg of ICP for ICP from 33 to 55 mm Hg, and falling sharply with rising ...
TY - JOUR. T1 - Pattern of fatal head injuries due to vehicular accidents in Mangalore. AU - Menon, Anand. AU - Pai, Vishwas K.. AU - Rajeev, A.. PY - 2008/2/1. Y1 - 2008/2/1. N2 - Head injury is an important cause of mortality worldwide as the head is the most vulnerable part of the body involved in fatal road traffic accidents. The present study was undertaken on 682 victims of road traffic accidents who died due to injuries sustained to the head, which were autopsied at District Wenlock Hospital, Mangalore over a period of 5 years between January 1999 and December 2003. Most of the accidents had taken place during the afternoon and evening hours (1400-2200h). There was a marked male preponderance (84.6%). The most vulnerable age group was found to be between 21 and 30 years. Two wheeler occupants were most commonly involved. Skull fractures were present in 88.88% of the cases. Fractures of the vault were found in 88%, base of the skull in 35.97% and a combination of both in 35% of cases. In ...
A Rare Fatal Head Injury and Crush Injury to Leg by an Improperly Assembled Chaff Cutter - a farm Machinery-Related Injury in North-West India: a Case Report
A rare case is described of acute disseminated intravascular coagulation (DIC) following isolated mild head injury with acute subdural haematoma, coagulopathy onset preceding craniotomy. Surgical treatment of the cause followed by swift diagnosis and treatment soon after surgery enabled a good outcome. Post-operative recollection of subdural and extadural blood was treated by further surgery. DIC following isolated mild head injury without axonal damage is rare, but fatal if missed. Thrombocytopaenia in head injured patients should be investigated expediently. Post-operative interim imaging (if not standard practice) should also be considered to exclude haemorrhagic recollection requiring further surgery.
Paediatric head injury is common. Our numbers estimates an annual incidence of 3378 head injuries/100 000, which is similar to previously published figures.8 Past studies have shown a significant male predominance and almost half those presenting to A&E departments are less than 5 years old.2, 8, 9 Our population demonstrated similar age and sex demographics. Younger children may present more readily because of parental anxiety rather than them having a higher incidence of head injury. Studies from the United States tend to describe more severe head injuries reflecting issues of access to hospital care.1, 2 In Edinburgh most patients have relatively easy access to free health care and we subsequently see a wide spectrum of head injuries, including children who are possibly managed by primary care facilities elsewhere.. Vomiting occurred in 15.8% of our analysed population, an incidence similar to previously published figures of 10-17%.2, 4, 10 Studies that exclude the most minor injuries quote ...
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Minor Head Trauma in Pediatric Patients. Ayalin, Tyler; Kiang, Charlene; Gharabaghian, Laleh; Wang, N. Ewen; Haines, Christopher J. // Pediatric Emergency Medicine Reports;Feb2011, Vol. 16 Issue 2, p17 This article provides information on minor head trauma in pediatric patients. Minor head injuries are the one of the common injuries in children in emergency departments. Computed tomography is the modality of choice for the diagnosis of brain injuries and diseases, but this poses risk of... ...
Floating Hospital for Children is recognized as a Level 1 Trauma Center. We provide the best possible care for all head related pediatric trauma patients. Learn more.
TY - JOUR. T1 - Does acute hyperventilation cause cerebral ischemia in severely head-injured patients?. AU - Zornow, Mark H.. AU - Prough, Donald. PY - 2002/12/1. Y1 - 2002/12/1. KW - Cerebral blood flow. KW - Cerebral ischemia. KW - Hyperventilation. KW - Intracranial pressure. KW - Intraoperative monitoring. KW - Traumatic brain injury. UR - http://www.scopus.com/inward/record.url?scp=0036884497&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0036884497&partnerID=8YFLogxK. M3 - Article. C2 - 12483073. AN - SCOPUS:0036884497. VL - 30. SP - 2774. EP - 2775. JO - Critical Care Medicine. JF - Critical Care Medicine. SN - 0090-3493. IS - 12. ER - ...
Traumatic injuries involving the cranium and intracranial structures (i.e., BRAIN; CRANIAL NERVES; MENINGES; and other structures). Injuries may be classified by whether or not the skull is penetrated (i.e., penetrating vs. nonpenetrating) or whether there is an associated hemorrhage ...
Head injuries can often cause damage to the pituitary gland leading to hormonal problems. Here, Caroline Churchill gives her account of her sons head injury as a child, and the problems he suffered as an adult including sexual dysfunction and depression, leading eventually to suicide. Brain injury is already recognized as quadrupling suicide risk, and…
Objective : To investigate the cases of intracranial abnormal brain MRI findings even in the negative brain CT scan after mild head injury. Methods : During a 2-year period (January 2009-December 2010), we prospectively evaluated both brain CT and brain MRI of 180 patients with mild head injury. Patients were classified into two groups according to presence or absence of abnormal brain MRI finding even in the negative brain CT scan after mild head injury. Two neurosurgeons and one neuroradiologist validated the images from both brain CT scan and brain MRI double blindly. Results : Intracranial injury with negative brain CT scan after mild head injury occurred in 18 patients (10.0%). Headache (51.7%) without neurologic signs was the most common symptom. Locations of intracranial lesions showing abnormal brain MRI were as follows; temporal base (n=8), frontal pole (n=5), falx cerebri (n=2), basal ganglia (n=1), tentorium (n=1), and sylvian fissure (n=1). Intracranial injury was common in patients ...
WEDNESDAY, July 5, 2017 (HealthDay News) -- A severe head injury, especially during middle age, could dramatically boost the risk for developing dementia later in life, new research from Finland suggests.. The investigation tracked dementia risk among people who had suffered a traumatic brain injury [TBI] at 65 or younger. Ultimately, the researchers determined that not only did the risk go up for those who had a TBI, but the worse the initial head injury, the greater the risk of dementia.. "The study showed that 3.5 percent of persons with moderate-to-severe TBI [were] diagnosed with a neurodegenerative disease [such as dementia] later in life," said study lead author Dr. Rahul Raj. Hes an associate professor of experimental neurosurgery at Helsinki University Hospital.. "This is substantially higher compared to age-matched peers with no history of brain injury," he noted.. By comparison, "only 1.6 percent of persons with mild TBI were diagnosed with a neurodegenerative disease," Raj added, ...
Plaintiff wiper was carrying a bucket of scrap iron up a ladder in the engine room of the vessel when a blower fell from a higher deck and struck the wiper on top of the head. Plaintiff was diagnosed with chronic cervicalgia, psychological sequela and a mild closed head injury (concussion). Plaintiff settled for $900,000, but recovered over a million dollars total, including medical and maintenance payments.. $900,000. ...
Ischemia of the basal ganglia as an immediate consequence of minor head injury in children is rare (| 2% of all ischemic stroke in childhood) and is due to vasospasm of the lenticulostriate arteries. The clinical history of these lesions is particularly favourable because they are usually small, and also because the facial-brachial-crural hemiparesis typical of this pathology usually regresses after a period ranging from several weeks to several months, despite the persistence of an ischemic area on MRI. This is due to the well known neuronal plasticity of the CNS, in particular, of the primary motor cortex. The most effective therapeutic approach appears to be the conservative one, although the best treatment regimen is still not well defined. Young patients should be closely monitored and treated conservatively with osmotic diuretics to reduce perilesional edema. At the same time, however, it is very important to exclude, by means of instrumental and laboratory studies, conditions that could favour
Ischemia of the basal ganglia as an immediate consequence of minor head injury in children is rare (| 2% of all ischemic stroke in childhood) and is due to vasospasm of the lenticulostriate arteries. The clinical history of these lesions is particularly favourable because they are usually small, and also because the facial-brachial-crural hemiparesis typical of this pathology usually regresses after a period ranging from several weeks to several months, despite the persistence of an ischemic area on MRI. This is due to the well known neuronal plasticity of the CNS, in particular, of the primary motor cortex. The most effective therapeutic approach appears to be the conservative one, although the best treatment regimen is still not well defined. Young patients should be closely monitored and treated conservatively with osmotic diuretics to reduce perilesional edema. At the same time, however, it is very important to exclude, by means of instrumental and laboratory studies, conditions that could favour
Learn more about True or False: A Person With a Serious Head Injury or Concussion Should Be Kept Awake at Memorial Hospital All head injuries should be treated seriously...
Head trauma due to a car accident is extremely serious, especially for young children. If your child has suffered head trauma, call Moseley Collins now.
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The use of CT scan in minor head injuries is a difficult subject. Another reason why calling us first when your child has a minor head injury is the way to go.. "Nigrovic said many children show up in ERs with minor head trauma, but very few have significant traumatic brain injuries, identified as a condition resulting in death, brain surgery, use of oxygen tubes for more than 24 hours, or hospital admission for more than two days. She said monitoring symptoms is an effective strategy to reduce CT scans for children considered in the low- to intermediate-risk category.. "We use CT scans for high-risk cases because we dont want to miss a brain injury," said Nigrovic. "But if a 3-year-old girl with a headache or vomiting can stay in the ER and be monitored, and if after four hours the symptoms are gone, thats great. She can go home.". Childs head injury doesnt always need CT scan. ...
VAERS ID 209245-1: "This subject is a three month old female, who suffered a fatal head injury while enrolled in a comparative post marketing safety study of Daptacel (diptheria and tetanus toxoids and acellular pertussis vaccine absorbed) administered with other recommended vaccines according to the US standard of care. The subject received one dose of study vaccine: the last dose prior to the event was given on 01/14/2003. The subject ""expired instantly due to blunt head injuries in motor vehicle accident described as ""auto vs. fixed object, ejected,"" 18 days post immunization and expired the same day. No other information was reported. Death Certificate has been received. Autopsy has been performed but report not yet received. The event of fatal head injury was reported by the investigator as unrelated to the study product. The autopsy report states accident automobile, death. Follow up on 09/30/2003: ""Autopsy Report received by medical affairs on 09/16/2003. This three-month-old female ...
VAERS ID 209245-1: "This subject is a three month old female, who suffered a fatal head injury while enrolled in a comparative post marketing safety study of Daptacel (diptheria and tetanus toxoids and acellular pertussis vaccine absorbed) administered with other recommended vaccines according to the US standard of care. The subject received one dose of study vaccine: the last dose prior to the event was given on 01/14/2003. The subject ""expired instantly due to blunt head injuries in motor vehicle accident described as ""auto vs. fixed object, ejected,"" 18 days post immunization and expired the same day. No other information was reported. Death Certificate has been received. Autopsy has been performed but report not yet received. The event of fatal head injury was reported by the investigator as unrelated to the study product. The autopsy report states accident automobile, death. Follow up on 09/30/2003: ""Autopsy Report received by medical affairs on 09/16/2003. This three-month-old female ...
Lalenoh, Diana Christine and Bisri, Tatang and Yusuf, Irawan Brain Protection Effect of Lidocaine Measured By Interleukin-6 and Phospholipase A2 Concentration in Epidural Haematoma with Moderate Head Injury Patient. Journal of Anesthesia & Clinical Research. ISSN 2155-6148. ...
We dont know what to do. My dad is 72 years old--VERY healthy, but fell from a ladder 10 days ago and has many broken ribs, still on ventilator, moderate head injury (hes starting to wake up and respond to commands), and C2 & T6 fractures (probably no cord involvement) and an exploded T12/L1 (almost certain cord involvement).... He has a right shoulder (scapula) fracture and for some unknown reason, is not moving his right arm much. He seems to wince to pain in his upper legs, but no leg
The accident caused Mack to have severe traumatic head injury, among other serious injuries. Severe traumatic head injury occurs when there is direct damage or the threat of damage to the brain. An example of direct damage to the brain would be a gunshot wound. A threat of damage would be a severe contusion which may result in a hemotoma or increased intracranial pressure. The right frontal lobe (sub-dural) of Macks brain was injured causing hemotoma and increased intracranial pressure. This is why they placed drain tubes in his head at the onset. The most recent CAT scan shows that the brain swelling has gone down, which is an improvement. The doctor said that the drain tubes in his head will most likely be removed today since they have done their job. However, there are still scattered patches of blood and fluid in the brain. The doctor stated that there has been some cellular death of brain cells due to low blood pressure and the brain being without oxygen for a period of time right after ...
ABSTRACTObjectiveTo externally validate four commonly used rules in computed tomography (CT) for minor head injury.DesignProspective, multicentre cohort study.SettingThree university and six non-university hospitals in the Netherlands.ParticipantsConsecutive adult patients aged 16 years and over who
Background and objective Expectations and beliefs are important predictors of outcome following minor head injury. In this paper, the primary purpose is to develop a simple symptom expectation...
Our results show there is no reduction in mortality with methylprednisolone in the 2 weeks after head injury. The cause of the rise in risk of death within 2 weeks is unclear.
3Gaziosmanpa a University, School of Medicine, Department of Biostatistics, Tokat, Turkey DOI : 10.5137/1019-5149.JTN.12668-14.3 AIM: Because of the need for effective method to determine the severity of head trauma, the importance of biomarkers is recognized recently. This study aims to analyze the values of sera levels of some biomarkers and the relation with their tissue levels in acute head injury.. MATERIAL and METHODS: In this study, rats were divided into three groups (mild head trauma, severe head trauma and control group). All rats were anaesthetized. Weightdrop method was used as trauma method. Blood samples were obtained five minutes after trauma when the acute effects of trauma occurred. Then whole brains of rats were excised. Levels of biomarkers were investigated in the sera samples and homogenized brain tissues biochemically.. RESULTS: Significant differences in the sera GFAP (p=0.015) and insulin (p=0.011) levels were observed. Very significant difference in the sera nNOS level ...
The evidence from observational epidemiologic studies provide some support for a harmful effect of head injuries, with risk especially elevated among those whose head injuries occur later in life or are more severe. However, few prospective studies have been conducted on head injury and AD, and they have significant methodological limitations. More importantly, the diagnosis of dementia in all prior studies has been based on clinical features rather than modern biomarker assays to identify the dementia subtype, and there have been no studies where the clinical diagnosis of AD was confirmed in pathologic studies. Thus, while head injury likely increases the risk of developing dementia, epidemiologic evidence linking head injury to AD dementia is less clear. There is much greater support for moderate to severe head injury in total dementia, and some support for mild head injury with loss of consciousness and total dementia. Of course, as there are many other harmful effects from head injury, there ...
The influence of vehicle deformation on the risks of head injury for the drivers involved in frontal crashes is studied using real world crash data. There are three types of vehicle damage distribution considered in this paper, namely, wide distribution, moderate offset, and small offset. The adjusted odds ratios (OR) along with 95% confidence intervals (CI) for the head injuries are estimated by logistic regression, controlling for a wide variety of confounders. Results show that occupants head injuries are highly related to damage distribution.
Question - Visible bump after a head injury on the back of head. Ask a Doctor about diagnosis, treatment and medication for Loss of consciousness, Ask a Critical Care Specialist
People who have experienced a head injury can be subject to various symptoms. Some symptoms can be mild, while others can be very serious. Symptoms may occur immediately after the injury, while others occur after some time has passed. Symptoms can last briefly. Some of the less serious symptoms of head injuries include mild headaches, nausea, and brief loss consciousness. Others, including seizures, are much more serious and can last for days, weeks, and even years in some cases. Head trauma victims are 12 times more likely than people who have not suffered from head injuries to have seizures. Head injuries occur all the time. People who have acute intracranial hematomas can also have a high rate of epilepsy. The severity of the head injury is typically reflected in the severity of the symptoms that follow. Seizures are considered to be more serious than most symptoms relating to head injuries. Seizures do occur in people who have never had a head injury, but people who have experienced a head ...
Objective: To describe the impact of implementing clinical practice guidelines (CPG) for head injury in a trauma referral system in Songkla province, Thailand.. Methods: The CPG was developed by a local multidisciplinary team and implemented using multi-faceted methods. The outcome of patients with head injury from three community hospitals and a university hospital (Songklanagarind Hospital) was reported in terms of "talk and deteriorate" patients and a "poor" outcome for patients with severe head injury. Changes to clinical practice were observed where the guidelines were implemented.. Results: 1000 patients with head injury were enrolled from 1st August 2005 to 15th January 2006. The incidence of "talk and deteriorate" patients was 10.5% and a poor outcome was noted in 35.5% of patients with severe head injury, similar to the results of a previous study in Songklanagarind Hospital (p,0.05). Following implementation of the guidelines, 19.8% of patients underwent CT scanning with similar ...
Very serious head wounds can result in spinal injuries, breathing problems, a fractured skull or bleeding in and around the brain and can sometimes be fatal. Most serious head injuries on the slopes are caused by collisions with other skiers or static objects such as rocks, pylons or trees. Skiers can reach speeds of 40mph even on fairly moderate slopes, so the force of the impact will be high. Colliding with static objects tends to cause more damage than colliding with other skiers and most fatal head wounds sustained during skiing are caused by colliding with trees. ...
This interview was inspired by a question from KUOW listener Patricia Boiko.. Has the rising popularity of bike sharing led to more head injuries? Rivara: We recently looked at about 80 people who were treated for bike injuries at Harborview Medical Center. We found that of those 80, only three were bike-share related.. Why do you think that is?. First of all, I dont want to leave your listeners with the idea that they shouldnt wear helmets. Helmets prevent 85 percent of head injuries.. But with bike shares, its a combination of factors. I think the bikes are a bit clunky, and theyre slower than the typical 18-speed bike that most of us have at home. And I think the people riding them dont want to go fast.. Is that reassuring to you in some way?. Well, there arent that many people who are being injured on bikes to begin with. So it is reassuring that theres not an increased number of head injuries.. But were still in the early stages of bike sharing. I think were going to see more and ...
Pediatric patients with head and neck cancer can be treated with proton beam therapy (PBT) instead of traditional photon radiation, and it will result in similar outcomes with less impact on quality of life.
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By Genevra PittmanNEW YORK (Reuters Health) - Observing some kids after a head injury may help doctors decide which ones need a head x-ray, according to a new study published in Pediatrics.Thats important because researchers still arent sure whether too many of those x-rays, called computed tomography, or CT scans, might trigger cancer years later.CT scans can help doctors recognize more serious head injuries that need treatment. But observation is probably a good strategy for kids who have some risk of a serious brain injury, but arent showing serious symptoms, said Dr. Lise Nigrovic of Childrens Hospital Boston, who worked on the study.If a kids shows up at the ER very soon after a head injury, you may just not have had enough time for symptoms to develop, she told Reuters Health. Or, a kid may have some symptoms that make you a little concerned, but you just want some time before making a decision about doing an x-ray.We all want to make sure that we use CT scanning in the cases where its
Dr. Randall Kertz, DC has released an all-new, second edition of his popular book, The Bassists Guide to Injury Management, Prevention and Better Health. The second edition features expanded content and a new cover. The Bassists Guide is written specifically for bassists, dealing with the common, and not-so-common issues bass players encounter when practicing and...
Guidelines for the management of severe head injury in adults as evolved by the European Brain Injury Consortium are presented and discussed. The importance of preventing and treating secondary...
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TY - JOUR. T1 - Intensive care monitoring of severe head injury. AU - Rafferty, C.. AU - Hansen, S.. AU - Bullock, Ross. AU - Teasdale, G. M.. AU - Fitch, W.. AU - Jamal, G. A.. PY - 1992/1/1. Y1 - 1992/1/1. UR - http://www.scopus.com/inward/record.url?scp=0026696761&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0026696761&partnerID=8YFLogxK. M3 - Article. AN - SCOPUS:0026696761. VL - 3. JO - Clinical Intensive Care. JF - Clinical Intensive Care. SN - 0956-3075. IS - 2 SUPPL.. ER - ...
Tramadol (Ultram) belongs to the category of opioid analgesic (analgesic) drugs and is a strong central acting analgesic. Tramadol is a medication for relieving the pain syndrome of moderate and severe intensity of various etiology, including pain in patients with cancer, pain in case of trauma and in the postoperative period.. When using the drug, it is necessary to avoid driving the car and practicing potentially dangerous activities that require an increased concentration of attention and speed of psychomotor reactions. Dizziness or severe drowsiness may lead to falls or other accidents.. This medication should be used with special care in case of various disorders of consciousness, craniocerebral trauma, seizure of intracranial hypertension, epileptic syndrome and other conditions, accompanied by a loss of control over oneself and the functions of the respiratory system.. Avoid drinking alcohol. When alcohol is combined with tramadol, dangerous adverse effects or even death can occur. Check ...
Disorders of the centrally located thalamus, which integrates a wide range of cortical and subcortical information. Manifestations include sensory loss, MOVEMENT DISORDERS; ATAXIA, pain syndromes, visual disorders, a variety of neuropsychological conditions, and COMA. Relatively common etiologies include CEREBROVASCULAR DISORDERS; CRANIOCEREBRAL TRAUMA; BRAIN NEOPLASMS; BRAIN HYPOXIA; INTRACRANIAL HEMORRHAGES; and infectious processes ...