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These data emphasize the interest of the study, in acute traumatic comatose, of the brain-stem reflexes and level of coma (Plum, Posner, Perez-Dominguez, Barge, Espagno) and the monitoring of the intracranial pression (ICP) by extra-dural screw (Vries, de Rougemont, J. Brunon). It is possible to describe: 1)The bilateral hemispherical contusions: with cortico-subcortical level and bilateral decorticate comatose. The normal brain-stem reflexes (N.B.S.R.) are presents. The monitoring of ICP allows to separate the reversible bilateral hemispherical contusions (ICP can present unstable recording during 3 days with pressure-waves--B waves--or to be stable (between 10--15 mm Hg)), from the severe bilateral contusions with rostro-caudal evolution and "plateau-waves". 2) The brain-stem contusions: the clinical level is often a mesencephalic level with decerebrate rigidity and N.B.S.R. +/- (Automatic Eye Movements). In severe injury the ICP is increased and unstable with A waves. In reversible brain-stem contusions the ICP is often stable and low with arteriography and ventriculography insignificant. 3) The associated contusions: In general, the head injuries of this group are alternatively decorticate or on decerebrate rigidity ("ambiguous reaction"). In the severe associated contusions the ICP shows A waves. In reversible contusions ICP is stable with normal supratentorial angiogramm and ventriculography.
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
January 1978,
Neuro-Chirurgie,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
October 1976,
Der Radiologe,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
January 1979,
Zentralblatt fur Gynakologie,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
June 1978,
Wiener klinische Wochenschrift,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
January 1981,
Zentralblatt fur Chirurgie,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
January 1980,
La semaine des hopitaux : organe fonde par l'Association d'enseignement medical des hopitaux de Paris,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
November 1979,
Annales de radiologie,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
July 1981,
Lijecnicki vjesnik,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
January 1978,
Neuro-Chirurgie,
J M Fuentes, and
C Bouscarel, and
Y Choucair, and
B Roquefeuil, and
B Vlahovitch, and
P Blanchet
January 1980,
Aktuelle Gerontologie,
