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Suicide bomb attack causing penetrating craniocerebral injury

Chinese Journal of Traumatology 2013年第1期16卷 51-53页

作者： manzar hussain muhammad ehsan bari Department of Neurosurgery Dow University of HealthSciences Karachi 75300 Pakistan

Penetrating cerebral injuries caused by foreign bodies are rare in civilian neurosurgical trauma, al- though there are various reports of blast or gunshot injuries in warfare due to multiple foreign bodies like pellets and nails. In our case, a 30-year-old man presented to neurosurgery clinic with signs and symptoms of right-sided weakness after suicide bomb attack. The skull X-ray showed a single intracranial nail. Small craniotomy was done and the nail was removed with caution to avoid injury to surrounding normal brain tissue. At 6 months＇ follow-up his right- sided power improved to against gravity.

关键词： Head injury, penetrating Bombs Nails

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Repeat cranial tomography in patients with mild head injury and stable neurological examination - a perspective from a developing country

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Chinese Journal of Traumatology 2011年第5期14卷 297-300页

作者： Sadaf Nasir manzar hussain Department of Radiology Liaquat National HospitalKarachi Pakistan Department of Neurosurgery Department of Surgery Aga Khan University Hospital Karachi Pakistan

Objective： To determine the frequency of altered findings on repeat cranial tomography （CT） in patients with mild head injury along with stable neurological examination at tertiary care ***： Cross-sectional study was done in the Department of Radiology, Liaquat National Hospital, Karachi from January 2008 to September 2010. All patients with mild head injury in terms of Glasgow Coma Scale （GCS） who underwent repeat scan without clinical or neurological deterioration in the emergency department of a tertiary care centre were included. The collected data were accordingly entered and analyzed by the principal investigator using Statistical Package for Social Sciences （SPSS） version ***： In all 275 patients, only 17 （6%） of the patients were found worseing on repeat CT, 120 （43.63%）scans improved, 138 （50.18%） unchanged and 17 （6.18%）worsened. None of these patients showed signs of clinical ***： Our results suggest that for patients with mild head injury and stable neurological examination, only 6% of them show deterioration on repeat CT, especially when patients＇ GCS is below 13.

关键词： Brain injuries Neurologic examination Glasgow coma scale Tomography

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Flexion/extension cervical spine views in blunt cervical trauma

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中华创伤杂志(英文版) 2012年第3期15卷 166-169页

作者： Sadaf Nasir manzar hussain Roomi Mahmud Department of Radiology Liaquat National HospitalKarachi 75300Pakistan Department of Neurosurgery Dow University of Health SciencesKarachi 75300Pakistan

Objective:To examine the contribution of flexion and extension radiographs in the evaluation of ligamentous injury in awake adults with acute blunt cervical spine trauma,who show loss of cervical lordosis and neck pain. Methods:All patients who presented to our emergency department following blunt trauma were enrolled in this study,except those with schiwora,neurological deficits or fracture demonstrated on cross-table cervical spine X-rays,and those who were either obtunded or presented after cervical spine *** of flexion and extension views was checked by the neurosurgery and radiology team *** these patients underwent cross-table cervical spine view followed by flexion/extension views based on the loss of lordosis on cross-table imaging and the presence of neck pain. Results:A total of 200 cases were reviewed,of whom 90(45%) underwent repeat X-rays because of either inadequate exposure or limited *** of the patients with loss of lordosis on cross-table view had positive flexion and extension views of cervical spine for instability. Conclusions:Our results show that in patients who underwent acute radiographic evaluation of blunt cervical spine trauma,flexion and extension views of the cervical spine are unlikely to yield positive results in the presence of axial neck pain and/or loss of cervical *** can also hypothesize that performing flexion and extension views will be more useful once the acute neck pain has settled.

关键词： X-rays Cervical vertebrae Lordosis

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