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Multiple Trauma with Severe Brain Injury Cause by Impression Fracture : Case Report and Literature Review
(1) Faculty of Medicine Universitas Muhammadiyah Surabaya, Surabaya, East Java, Indonesia
(2) Faculty of Medicine Universitas Muhammadiyah Surabaya, Surabaya, East Java, Indonesia
(3) Faculty of Medicine Universitas Muhammadiyah Surabaya, Surabaya, East Java, Indonesia
(4) Faculty of Medicine Universitas Muhammadiyah Surabaya, Surabaya, East Java, Indonesia
(5) Faculty of Medicine Universitas Muhammadiyah Surabaya, Surabaya, East Java, Indonesia
(*) Corresponding Author
Abstract
Background : Multiple trauma one of trauma caused by huge traumatic force involves many organs and tissues. AIS and ISS is scoring for multiple trauma diagnosis and classification. In this Case Report discuss about multiple trauma patient with Severe Brain Injury cause by Impression Fracture with open fracture in regio cruris sinistra and close fracture femur sinistra.
Case presentation : The following is a case report of a 63-year-old female patient came to the emergency room of Soegiri Lamongan with decreased of consciousness due to a traffic accident. Mechanism of injury the patient's head hit the chair and the driver's side of the car pillar and the patient's legs were pinched by the car seat. Since 25-year-old patient has a history of uncontrolled diabetes mellitus but the patient regularly takes anti-diabetic drugs (OAD). Patient was diagnosed with multiple trauma with severe brain injury with suspected DAI with open fracture grade 3A middle 1/3 tibia and close fracture middle 1/3 distal femur.
Conclusion : Multiple Trauma has a bad prognosis. The most important from Multiple trauma management is prehospotality management. Additional Severe Brain Injury make the diagnosis become worse.
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Xiao, X. & Ke, D. Advances in Diagnosis and Treatment of Multiple Injuries. SOJ Surg. 6, 1–5 (2019).
Frink, M., Lechler, P., Debus, F. & Ruchholtz, S. Multiple Trauma and Emergency Room Management. Dtsch. Arztebl. Int. 114, 497–503 (2017).
Pape, H.-C. et al. The definition of polytrauma revisited: An international consensus process and proposal of the new ‘Berlin definition’. J. Trauma Acute Care Surg. 77, 780–786 (2014).
Zong, Z.-W. et al. Chinese expert consensus on echelons treatment of thoracic injury in modern warfare. Mil. Med. Res. 5, 34 (2018).
Saadat, S., Akbari, H., Khorramirouz, R., Mofid, R. & Rahimi-Movaghar, V. Determinants of mortality in patients with traumatic brain injury. Ulus. travma ve acil cerrahi Derg. = Turkish J. trauma Emerg. Surg. TJTES 18, 219–224 (2012).
Akhavan Akbari, G. & Mohammadian, A. Comparison of the RTS and ISS scores on prediction of survival chances in multiple trauma patients. Acta Chir. Orthop. Traumatol. Cech. 79, 535–539 (2012).
Domingues, C. de A., Coimbra, R., Poggetti, R. S., Nogueira, L. de S. & de Sousa, R. M. C. New Trauma and Injury Severity Score (TRISS) adjustments for survival prediction. World J. Emerg. Surg. 13, 1–6 (2018).
Carroll, C. P., Cochran, J. A., Price, J. P., Guse, C. E. & Wang, M. C. The AIS-2005 Revision in Severe Traumatic Brain Injury: Mission Accomplished or Problems for Future Research? Ann. Adv. Automot. Med. Assoc. Adv. Automot. Med. Annu. Sci. Conf. 54, 233–238 (2010).
Jiang, B. et al. Transport and public health in China: the road to a healthy future. Lancet (London, England) 390, 1781–1791 (2017).
Zafar, S. N. et al. Road traffic injuries: Cross-sectional cluster randomized countrywide population data from 4 low-income countries. Int. J. Surg. 52, 237–242 (2018).
Daban, J., Falzone, E., Boutonnet, M., Peigne, V. & Lenoir, B. [Wounded in action: the platinum ten minutes and the golden hour]. Soins. 14–15 (2014).
Manne, S. et al. Surgical Outcomes in Depressed Skull Fractures: An Institutional Experience. Asian J. Neurosurg. 14, 815–820 (2019).
Prakash, A., Harsh, V., Gupta, U., Kumar, J. & Kumar, A. Depressed Fractures of Skull: An Institutional Series of 453 Patients and Brief Review of Literature. Asian J. Neurosurg. 13, 222–226 (2018).
Payne, W. N., De Jesus, O. & Payne, A. N. Contrecoup Brain Injury. in (2022).
van Eijck, M. M., Schoonman, G. G., van der Naalt, J., de Vries, J. & Roks, G. Diffuse axonal injury after traumatic brain injury is a prognostic factor for functional outcome: a systematic review and meta-analysis. Brain Inj. 32, 395–402 (2018).
Carney, N. et al. Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition. Neurosurgery 80, 6–15 (2017).
Davceva, N., Sivevski, A. & Basheska, N. Traumatic axonal injury, a clinical-pathological correlation. J. Forensic Leg. Med. 48, 35–40 (2017).
Ottens, A. K. et al. Post-acute brain injury urinary signature: a new resource for molecular diagnostics. J. Neurotrauma 31, 782–788 (2014).
Mesfin, F. B., Gupta, N., Shapshak, A. H. & Taylor, R. S. Diffuse Axonal Injury. StatPearls [Internet]. Treasure Isl. StatPearls Publ. (2022).
Socie, M. J. et al. Biomechanical comparison of strategies to adjust axial stiffness of a hybrid fixator. Vet. Comp. Orthop. Traumatol. 25, 224–230 (2012).
ILIZAROV, G. A. & LEDYAEV, V. I. The Replacement of Long Tubular Bone Defects by Lengthening Distraction Osteotomy of One of the Fragments. Clin. Orthop. Relat. Res. 280, (1992).
Henley, M. B. et al. Treatment of type II, IIIA, and IIIB open fractures of the tibial shaft: a prospective comparison of unreamed interlocking intramedullary nails and half-pin external fixators. J. Orthop. Trauma 12, 1–7 (1998).
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DOI: https://doi.org/10.26714/magnamed.10.1.2023.117-128
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