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wrreoucnon ‘coe nation sri a the ei pie Iams aerogenes homoge, ean mer annem Asal cman omit of ected ery Coeeor oe Epo pita ge getup spree be od ogee onic tn iit colcioes Sw te margin of be hea ated et equi sn the ms he tak eres tnd omer pepe” bo trom of ended pans sade hy CT say dccuence crea Sots ae vad fom 3 0 Suman phy hem a4 tha ozone th ronan con Te Pathogens of prod of aera herr Se a pages of cones PATHOLOGY AND PATHOGENESIS Coup conturions dc 0 dec injury 4 the brain tee and surtace vowel by lense fragments he rc aay causes ghee compress inl Corp eomeacns one roe fro gh epee ‘pesmure tho devel whee ax wen of Pico sal Tap snaps hack fate place Ge chapter on mechanic of he ry) Ts tests mig tele strain easing raptare of pal Yoel orth ‘Conte cantsogs roll fom Wnsaonal of angular hood motion. Angular ead motion produces high tne sae thre the em. Acorn Geman ithe trans cued the wana eran a given ep. cman es The tena tran ate connate im cara rps a he Tram due to geomet ec These ae ae hace te he ony tracts th coir rmgbay the sure ef the font bbe and the tempor lobe in died preston, commis of fret and wenperl [aks ae vary carmen Contino ofthe apt be fname Bente ts uur bythe a cere ad the knram w sides ad othe thd de by he ‘srw curving sal dhe the ecpal lbe Cerebral Contusion and Intracerebral Hematoma ej Kamat ‘Comte ibe gyal co, ar lige spe ‘tending throgh the crter te the white tmater [Secon dann ithe pa etm ho the ry ‘comer cobra laceration, inden a Freytag” scl ging comin 2 ares offal emohages along supe meal marge of carcbral hemephere Thee ar deep ‘veya genta ay or may nthe compare Puhogenos of racentral mates 16 sila cone retnon, The mchenioms of cup sed emcoyp Sry meted tor conteal cotalon ‘io apply er itera matoma Irae hemes toque cc Holl andor opera Ins Hmuloms ca beadacnts casio Traumatic Contin Ih 2) pee ese hematomas ae mule teal i 30 percent ae weaated wh xtra Fearn "Cetin cach aon repli ne pot ‘esgic eongulpattes can lad delayed formton tedincescnsiecobtracesbahematorn'* Delyed [Pot rar hematoms hve Bee ted following [Beal eval of cecal contusions. Ti rt probly ‘meu beauscol ow final tapenade fats ene os CLINICAL FEATURES ‘Tee mo spo ciel picture that suggest cot ‘al contain progrenive neurlogical deters (San floing hod infry thal wakes seniors dae Intrcerebeal hematoma likely epecilly if tere as ‘en Forges cates of comet Tecan sis Shane of eaten cpr ae teat eran ae ran trp ‘oimton ond esdienna,osrellslperal che ‘Sem and hetatarnae prec bainstem compres [sca oft laeaton the mide owes with Boe hens, aera and atric side The path of ‘et stance woul appar tobe toward the a Decne they can in presence of ronal ot 1 Devlpment of feral marae dec intrccctralbomlcn tobe eght perma artery 162 constative severe ore heed iis, a 90 percent ad che Conese 40 poet parts sabe ‘Neogene stunned myvcarium (NSMD i know rome iggning a tyepatheic oultow magn be oF without me ect (Pige 271 and 279) Tey may ect f Tow dey ar 2800 8 hous hc 10 ‘ception of Boe ‘Sora dey the brain Tramateporechyna ‘shige nile Coote Nd rok whee Bond Fypeceme (30 Prnteld une [U) rate wo mal bran (20 to. 25 HL) (gp 273 and 273} Ths hang facie for altel Uy the gh (grein) mt of hemoglobin CT scan my fa stow mehemetthagie cosinor sal cenisn trata whch can be wl vane by MIR san, MANAGEMENT dengan ie ene dion ofthe pant ceo cow and inca Pres Fate wth sll. deep, store ae moma ecravls” Pues wil large termed eee sua eth meme, siya comciney, Costar hentreet Go ourcowe talons sary edly gs 224 and 279, Morality aed soe . th poy briny Sl taka elles piel coneLusion 19274 CT weg mae Sot crnne ae tine era in nr The pares uo Cerebral conan and rma eral Temata ccc dt cep and conte ro. These feguonly cesta Irma nd cmporl Jobo esse of ny roles and igh tent se ‘hewearalbeen Cimclnympeomeandspe yh locaton and wie ofthe rater ematomna arget ‘onus prac sian urls detralion inthe patent Temporal Ie nts and hematoma in proent th dtenaesing lel of comsousnon, “cult neve py an ural ean dere, {ange total contre rel i day spe ‘acl detention. Toure itacrbral hematoma Ind contatone can be dpsed aly by CT mon Cotas aad Neeniaee wing nr oft stout te everuted gical, Sal ewes with no imal shuld be manage mvereoly REFERENCES 1 Sma § Cope mat mracraa aemat= feo Wins BOL Rengachry (2) Newneges 2 Homan IML Cemtrorinal tenma IO Fhktsn BM ay Took of Rema. 1 Dubin A, fend BS, aru Competed ecg iy tn hed ma Rada 97712290 4 Fre EN Dn AB. The vase f computed fro. fy ae man a a 5. Mucr BCM lc Pheren rt 8, CTevidence 12, Dan A ru Reeve M Connputndengy Iaemexsenn Tring pearance and tone ‘perineal | rata AGRA Rec ‘EC Poauman trast Mave Less 1 Fara A ely Nope ¥ tal The dere ‘endured smarage [Tune FISTS 1M. Dae Wek DIL Laon Dye a Esty dagen ot daes pst oumane iecoe! haematoma | 15. Frum Be Shomer TM Hilal stn of the ‘ru lw Rend ns oe rumah Sek pe mane ong 1 None Gada SK Katee PAS ot The nest ac ‘eaten of eyed wana renal ante Nerang 90 18 Yee Gupta Ph Mapes AK, (ad SD. Deed hematoma fread ery Pe Aud Nena 300.7403 17. Fink Deol marti tre et fit ‘gel dcetpmaton Naming WODGESSEE 14 Sham Ph Jownon RA, NPhiron Delia ketene ors wit rea ers 1 Netet Ncig o Ba814 19, Cheat OU Maal LE Maal $8. Medal manage ‘Seto incom prvn Cooper (EA) aed {jor ee ame, Was ad ae 1985, 2a 20. Kely Df Made DO asker DP Segal management ‘Steer nee rr in Asa Ie Sohne Textbook 8 Traumatic em as BUSOU er ETRE ame Mer Textbook of Traumatic Brain Injury ator AK Mahapatra sew natewe nace Pte a Hae Depesrort ct tnumesaen ‘Ana nae ote Snces Fra Den oa Ores ‘Serva Sane Bowrasite ratte whine! Seances Raj Kumar ues rerrmessnes uses, Raj Kamal we us acura Haun Depmrent o Mourne ‘cet i nga ene eae Sere au Care ew Dein a Sani Gnd Poeun hae of Mee! Sane Forward DK Gupta t JAYPEE BROTHERS MEDICAL PUBLISHERS (P}LTO- Wow Bai = Panama Gly ~ London

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