Contrecoup Head Injury

Banga, Manpreet Singh; Bv, Sandeep; Roy, Kaushik; Saha, Suniti Kumar; Dixit, Sudhanshu; Ghosh, Pradip N.

doi:10.1055/s-0037-1601361

Cited by 4 publications

(8 citation statements)

References 13 publications

(15 reference statements)

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“…Global fatality after a surgically medicated EDH is around 10%. Even though contrecoup contusion, as well as acute subdural hematoma because of escalation injury to the head, have been disclosed, no more than 10 contrecoup epidural hematoma occurrences are publicized in the article [ 3 ]. The most common cause of intracranial EDH is trauma.…”

Section: Discussionmentioning

confidence: 99%

“…They noticed that local contortion at the site directly on the other side of the impact site contributed increase to the small pocket caused by the peeling of the dura. This contortion as well as the dependence impact formed by the removal of the former hematoma caused a contrecoup hematoma [ 2 , 3 ]. Miyazaki et al .…”

Section: Discussionmentioning

confidence: 99%

“…There are two suggested mechanisms to describe pneumocephalus with no craniofacial skull fissure, the two implicating low intracranial pressure resulting in the suction of air via the dural defect. The former mechanism includes vertical strain that generates a pressure slope in the cerebrospinal fluid (CSF) system, while the latter includes a ball valve impact that lets air get inside the skull base from several foramina or cervical cranial connection pathways [ 2 , 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Dural separation and dural vascular injury because of cranial deformity due to impact forces are possible mechanisms contributing to the development of EDH. Since the early finding of contrecoup injuries is able to reduce complications of head trauma [ 2 , 3 ]. We present a 33-year-old man who lost consciousness and suffered from a head injury due to falling from high, who was suspected to have a contrecoup through CT scan but the final result consistent with fracture causes laceration of meningeal middle artery and EDH.…”

Section: Introductionmentioning

confidence: 99%

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Contrecoup epidural hematoma: a rare case report

Bal’afif¹,

Wardhana²,

Alfandy³

et al. 2022

Pan Afr Med J

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Epidural hematoma (EDH) is defined as a traumatic accretion of blood separating the dural membrane and the internal table of the skull that caused from contact bending or skull fracture. The cases of contrecoup EDH are as not common, and there are just 10 recorded cases on this. As a result of its uncommonness, we disclose one subject of a 33-year-old man having countrecoup EDH who suffered from a head trauma caused by falling from 4 meters high. The main symptoms were decreasing consciousness and vomiting. Clinical findings showed a Glasgow Coma Scale score of 9, laceration in the left parietal region with stable hemodynamic. Head Computed tomography showed a large EDH in the right frontal and temporal region with coronal suture diastasis. The patient immediately underwent surgery, and craniotomy with evacuation of extradural hematoma were performed. This case presents that a force, which creates an angle, can propagates and causes opposite coronal suture diastasis and makes contrecoup EDH.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Contrecoup epidural hematoma: a rare case report

Bal’afif¹,

Wardhana²,

Alfandy³

et al. 2022

Pan Afr Med J

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“…The CT and MR imaging of a coup contrecoup TBI has not previously been described in the horse. A coup contrecoup TBI indicates that the traumatic forces have been dissipated throughout the brain, and when the contrecoup injury is greater than the coup injury, a poor prognosis is associated in men (Banga et al 2017). There are several theories to explain circumstances in which the contrecoup injury is more severe than the coup injury.…”

Section: Discussionmentioning

confidence: 99%

Computed tomographic and magnetic resonance imaging of a coup contrecoup traumatic brain injury in a horse

Morgan

Dunkel

Spiro

et al. 2021

Equine Veterinary Education

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Summary A 3‐year‐old Thoroughbred mare found recumbent in the field was referred for further assessment with suspicion of a skull fracture. Neurological examination identified compulsive tight circling to the left, and hypermetria in all four limbs. The mare was obtunded, with a mild head tilt to the right, absent menace response of the right eye and decreased facial sensation on the right. Standing computed tomographic examination revealed a subtle depression fracture of the dorsal calvarium and moderate intra‐axial midline shift consistent with a traumatic brain injury (TBI). Despite supportive treatment, the mare deteriorated and was subjected to euthanasia. Post‐mortem high field magnetic resonance imaging revealed findings consistent with a small cerebral contusion adjacent to the fracture site, and moderate to severe ipsilateral cerebral oedema within the caudal cerebrum and rostral brainstem, consistent with a coup contrecoup TBI. Brainstem lesions indicate a poor prognosis and support the decision for euthanasia. This is the first report of the imaging findings of a coup contrecoup TBI in a horse.

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Outcome and Management of Occipitofrontal Contrecoup Head Injury

Srivastava,

Kannan,

Srisaravanan

et al. 2024

Asian J Neurosurg

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Contrecoup brain injury refers to the classical opposite of the primary impact. Tamil Nadu has the highest rate of road traffic accident in India. Madurai has peak mortality due to accidents in India. Previous studies done on contrecoup head injury had shown patterns of injuries and mechanism of injury. Outcome and management of only occipitofrontal contrecoup head injury has been taken in this study. Mortality in this specific group is very high. Seventy-six patients of this specific head injury were admitted at Government Rajaji Hospital, Madurai. Patients were assessed for Glasgow coma scale (GCS), age, sex, progression of volume, mortality, traumatic brain injury-induced coagulopathy, and pillion rider outcome. Fourteen patients were surgically treated by decompressive craniectomy. Conservative management was done by antiepileptic and antiedema measures. Mostly affected were males (n = 54) followed by females (n = 22). GCS on admission mean value 9. In our study, mortality was 32% with sudden death of three patients due to hypothalamic compression. Hospital stay of the patient was significantly increased with progression of lesion with mean 9 days and p-value less than 0.01. Pillion riders (n = 18) were also affected in our study. Traumatic brain injury-induced coagulopathy (n = 12) was also detected, which was treated by injection tranexamic acid and injection vitamin K, thereby not leading to any death due to coagulopathy with significant p-value less than 0.01. We recommend helmet for both main and pillion rider with strict speeding regulations.

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Contrecoup Head Injury

Cited by 4 publications

References 13 publications

Contrecoup epidural hematoma: a rare case report

Contrecoup epidural hematoma: a rare case report

Computed tomographic and magnetic resonance imaging of a coup contrecoup traumatic brain injury in a horse

Outcome and Management of Occipitofrontal Contrecoup Head Injury

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