FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2035162807> ?p ?o ?g. }

• W2035162807 endingPage "400" @default.
• W2035162807 startingPage "397" @default.
• W2035162807 abstract "During military conflicts, surviving victims traditionally underwent large enough craniectomy or craniotomy to achieve extensive debridement of the in-driven bone, shell fragments, and debris. Meanwhile, the completely as well as the partially devitalized adjacent brain tissue would also be debrided. This might have led to additional neurologic deficit or lesser degree of recovery of functions.We studied the efficacy and safety of much more limited or even absence of surgical intervention in a selected group of wartime head-wounded patients. Among 1,150 war victims with penetrating head wounds referred to two major centers affiliated with Tehran University of Medical Sciences during the 8-year period spanning the Iran-Iraq conflict, there were 191 head-wounded patients who underwent either no surgical intervention or a very limited debridement. We have attempted to follow up as closely as possible for more than 8 years. Ninety-nine of them fulfilled the criteria to be included in this series. Close follow-up for development of cerebral infections, functional recovery, or development of new neurologic deficits and epilepsy were performed. At least 3 contrast-enhanced CT scans were taken for each patient. All patients were victims of the battle-field areas with low- to moderate-velocity missile or shell fragment injury. The Glasgow Coma Scale (GCS) scores of the patients were between 8–14 when visited by the first attending neurosurgery staff. The factors considered to be effective in the outcome analysis were the entry point, the number of the in-driven bone fragments, the retained shell fragments, the brain compartments affected, and the paranasal sinus or skull base involvement with or without cerebrospinal fluid (CSF) fistula.There were 13 unilobar, 44 bilobar, 4 trilobar, 38 transventricular, and 3 skull base lesions. The number of retained metal fragments varied between 1 to 6. The number of retained bone fragments varied between 1 to 5 in 73 victims and more than five chips in other cases. The outcome was good (back to work) in 90 patients and poor (severely disabled) in 4. Five patients died because of severity of brain damage and meningitis. The effect of the different enumerated variables upon the outcome was measured using χ2 and Fisher exact test, which was nonsignificant for all of the variables except for the orbitofacial entry point of injury (p = 0.00006).This study seems to indicate that not only is reoperation for retained bone or shell fragments unnecessary, but surgeons having modern neuroradiological instruments available to detect the proper explanation for changes in GCS of the patients may decide not to proceed with any surgical intervention in a good number of patients. As a result of the “no surgical treatment protocol,” one can preserve cerebral tissue without exposing the patient to undue risk of seizures, infection, or death by leaving behind some or all the in-driven bone and shell fragments." @default.
• W2035162807 created "2016-06-24" @default.
• W2035162807 creator A5005971119 @default.
• W2035162807 creator A5013816413 @default.
• W2035162807 creator A5014694272 @default.
• W2035162807 creator A5052409797 @default.
• W2035162807 creator A5055136197 @default.
• W2035162807 date "2000-11-01" @default.
• W2035162807 modified "2023-09-25" @default.
• W2035162807 title "Neglected craniocerebral gunshot wound resulting in an encephalocele: case report" @default.
• W2035162807 cites W1695793322 @default.
• W2035162807 cites W1972437030 @default.
• W2035162807 cites W1982510058 @default.
• W2035162807 cites W1986062988 @default.
• W2035162807 cites W1992789129 @default.
• W2035162807 cites W2000993380 @default.
• W2035162807 cites W2004850325 @default.
• W2035162807 cites W2011904297 @default.
• W2035162807 cites W2024824365 @default.
• W2035162807 cites W2043111457 @default.
• W2035162807 cites W2044194091 @default.
• W2035162807 cites W2048549764 @default.
• W2035162807 cites W2057476783 @default.
• W2035162807 cites W2063720038 @default.
• W2035162807 cites W2099713435 @default.
• W2035162807 cites W2137402963 @default.
• W2035162807 cites W2147990703 @default.
• W2035162807 cites W2148164037 @default.
• W2035162807 cites W2248935911 @default.
• W2035162807 cites W2338533708 @default.
• W2035162807 doi "https://doi.org/10.1016/s0090-3019(00)00279-2" @default.
• W2035162807 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/11165623" @default.
• W2035162807 hasPublicationYear "2000" @default.
• W2035162807 type Work @default.
• W2035162807 sameAs 2035162807 @default.
• W2035162807 citedByCount "2" @default.
• W2035162807 crossrefType "journal-article" @default.
• W2035162807 hasAuthorship W2035162807A5005971119 @default.
• W2035162807 hasAuthorship W2035162807A5013816413 @default.
• W2035162807 hasAuthorship W2035162807A5014694272 @default.
• W2035162807 hasAuthorship W2035162807A5052409797 @default.
• W2035162807 hasAuthorship W2035162807A5055136197 @default.
• W2035162807 hasConcept C12770488 @default.
• W2035162807 hasConcept C141071460 @default.
• W2035162807 hasConcept C167135981 @default.
• W2035162807 hasConcept C17624336 @default.
• W2035162807 hasConcept C2777438270 @default.
• W2035162807 hasConcept C2778871575 @default.
• W2035162807 hasConcept C2780110798 @default.
• W2035162807 hasConcept C2780913535 @default.
• W2035162807 hasConcept C71924100 @default.
• W2035162807 hasConceptScore W2035162807C12770488 @default.
• W2035162807 hasConceptScore W2035162807C141071460 @default.
• W2035162807 hasConceptScore W2035162807C167135981 @default.
• W2035162807 hasConceptScore W2035162807C17624336 @default.
• W2035162807 hasConceptScore W2035162807C2777438270 @default.
• W2035162807 hasConceptScore W2035162807C2778871575 @default.
• W2035162807 hasConceptScore W2035162807C2780110798 @default.
• W2035162807 hasConceptScore W2035162807C2780913535 @default.
• W2035162807 hasConceptScore W2035162807C71924100 @default.
• W2035162807 hasIssue "5" @default.
• W2035162807 hasLocation W20351628071 @default.
• W2035162807 hasLocation W20351628072 @default.
• W2035162807 hasOpenAccess W2035162807 @default.
• W2035162807 hasPrimaryLocation W20351628071 @default.
• W2035162807 hasRelatedWork W1228424548 @default.
• W2035162807 hasRelatedWork W1965097545 @default.
• W2035162807 hasRelatedWork W2014117182 @default.
• W2035162807 hasRelatedWork W2170478492 @default.
• W2035162807 hasRelatedWork W2223461400 @default.
• W2035162807 hasRelatedWork W2366666323 @default.
• W2035162807 hasRelatedWork W2410137243 @default.
• W2035162807 hasRelatedWork W2589707126 @default.
• W2035162807 hasRelatedWork W2898304735 @default.
• W2035162807 hasRelatedWork W62711790 @default.
• W2035162807 hasVolume "54" @default.
• W2035162807 isParatext "false" @default.
• W2035162807 isRetracted "false" @default.
• W2035162807 magId "2035162807" @default.
• W2035162807 workType "article" @default.