Central Nervous System Trauma
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Questions and Answers

Trauma to the ______ and spinal cord is a significant cause of death and disability.

brain

The severity and site of ______ affect the outcome:

injury

Injury of several cubic centimeters of ______ parenchyma may be clinically silent.

brain

A blow to the head may be ______ or blunt; it may cause an open or a closed injury.

<p>penetrating</p> Signup and view all the answers

Severe brain damage can occur in the absence of external signs of ______ injury.

<p>head</p> Signup and view all the answers

Subarachnoid and ______ hemorrhages most often occur at sites of contusions and lacerations.

<p>intraparenchymal</p> Signup and view all the answers

A contusion is caused by rapid ______ displacement, disruption of vascular channels, and subsequent hemorrhage.

<p>tissue</p> Signup and view all the answers

Dural vessels, especially the middle ______ artery, are vulnerable to traumatic injury.

<p>meningeal</p> Signup and view all the answers

Traumatic ______ injuries may occur at the site of impact—a coup injury—or opposite the site of impact on the other side of the brain—a contrecoup injury.

<p>parenchymal</p> Signup and view all the answers

In infants, traumatic displacement of the easily deformable skull may tear a vessel, even in the absence of a ______ fracture.

<p>skull</p> Signup and view all the answers

Once a vessel tears, blood accumulates under ______ pressure and dissects the tightly applied dura away from the inner skull surface.

<p>arterial</p> Signup and view all the answers

An epidural hematoma may expand rapidly and constitutes a ______ emergency necessitating prompt drainage and repair to prevent death.

<p>neurosurgical</p> Signup and view all the answers

Rapid movement of the brain during trauma can tear the ______ veins that extend from the cerebral hemispheres through the subarachnoid and subdural space to the dural sinuses.

<p>bridging</p> Signup and view all the answers

Subdural hematomas typically become manifest within the first ______ hours after injury.

<p>48</p> Signup and view all the answers

Acute subdural hematoma appears as a collection of ______ clotted blood apposed to the contour of the brain surface.

<p>freshly</p> Signup and view all the answers

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