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- W114031206 abstract "Publisher SummaryThis chapter presents a medical case of deterioration after head injury. A 26-year-old woman was hit by a car when crossing a road. When the ambulance arrived, she was awake and talking, but appeared confused and complained of headache. On arrival at the Accident and Emergency Department, she was alert and able to answer questions but still occasionally appeared confused and continued to complain of quite severe headache. No abnormal neurological signs were detected. Skull radiography showed a left parietal fracture. The patient reached the ward 2½ h after the accident and gave the house officer a clear history of events following arrival at hospital. She still complained of a severe headache and was rubbing the left side of her head. Shortly after admission to the ward, she vomited. Half an hour later when her relatives arrived at the hospital, she was drowsy and slow in talking to them; 15 min later, she had to be aroused by shaking and was very slow to answer questions. The house officer confirmed this. Only an extensor right-sided plantar reflex was found. Without urgent treatment, this patient was likely to die. Signs suggested a left-sided extradural hematoma with rostrocaudal herniation." @default.
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- W114031206 date "1988-01-01" @default.
- W114031206 modified "2023-09-27" @default.
- W114031206 title "Deterioration after head injury" @default.
- W114031206 doi "https://doi.org/10.1016/b978-0-407-00544-0.50066-9" @default.
- W114031206 hasPublicationYear "1988" @default.
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