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RISS 인기검색어
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- 저자 : Alexandrina S. Nikova (검색결과 3 건)
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Alexandrina S. Nikova,Maria-Valeria Karakasi,Pavlos Pavlidis,Theodossios Birbilis,Ivaylo Dimitrov 대한신경손상학회 2019 Korean Journal of Neurotrauma Vol.15 No.2
Objective: Penetrating brain trauma (PBT) caused by gunshot is one of the most lethaltraumatic brain injuries (TBIs) and its management and confrontation is of great importance. Methods: The authors searched retrospectively the archives from 2 similar autonomouslaboratories of forensic science and toxicology in the Balkan peninsula for a 10-year period oftime and included only fatal penetrating brain injuries. Results: The study is conducted in 61 cadavers with gunshot PBT. All of the cadavers werevictims of suicide attempt. The most common anatomical localization on the skull were thefacial bones, followed by skull base, temporal and parietal bone, conducting a trajectoryof the gunshot. Additional findings were atherosclerosis of the blood vessels and chronicdiseases such as chronic obstructive pulmonary disease, cancer and fatty liver. Conclusion: PBI has a high mortality rate. There are factors and findings from the collecteddata differing between the 2 aforementioned nations. Either way, better preventativemeasures, gun control and healthcare system are highly necessary.
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The Clock Is Ticking – Brain Atrophy in Case of Acute Trauma?
Alexandrina S. Nikova,Georgios Sioutas,Konstantinos Kotopoulos,Dimitar Ganchev,Varvara Chatzipaulou,Theodossios Birbilis 대한신경손상학회 2019 Korean Journal of Neurotrauma Vol.15 No.2
ObjectiveBrain atrophy and brain herniation are gaining a lot of attention separately, but a limited amount of studies connected them together, and because of this, we are going to review and examine the subject in the current meta-analysis. MethodsThe authors collected data reporting brain atrophy of alcoholic and schizophrenic cause, as well as data on control patients, all of which was published on MEDLINE between 1996 and 2018. The included 11 articles were processed with a statistical program. ResultsWe found that the pericerebral space is unequal among the groups, while the intracranial volume is strongly correlated to the biggest foramen of the body. The effect of this inequality, however, is expressed in emergency cases, where the patients with brain atrophy will have more time before the final stage of brain herniation. ConclusionThe current study raises a controversial issue that requires careful investigation and high attention from the health care personnel.
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Maria-Valeria Karakasi,Alexandrina S. Nikova,Christina Valsamidou,Pavlos Pavlidis,Theodossios A. Birbilis 대한신경손상학회 2020 Korean Journal of Neurotrauma Vol.16 No.1
Objective: Brain trauma is an extremely important economical and social issue withincreasing daily incidence. It is important to observe and report brain trauma, in order toprovide better conditions for improvement of the trauma prevention and management. Methods: A ten-year retrospective observational analysis was performed on 292 (fatal andnon-fatal) incidents of traumatic brain injury among 2,847 totally examined cases in therecords of the laboratory of forensic sciences at Democritus University of Thrace betweenJanuary 1, 2007 and December 31, 2016. The results were further analyzed and classifed intopertinent categories associated with the purpose of the study. Results: The average age was estimated at 47.24 years with an obvious male domination. The most common cause of TBI, according to the results, is transport accidents (61.85%)followed by trauma inflicted by blunt instrument (22.49%), fall from height (11.65%) andoccupational accidents (4.02%). Mortality rates were evaluated for each type, revealingextremely disturbing numbers. Regarding the anatomical localization on the skull, the mostcommon region of cranial fractures is the cranial base (16.48%), followed by the frontal(12.87%), occipital (11.29%) and parietal bones (11.06%). In the majority of the cases, therewere associated injuries. Conclusion: The management of traumatic brain injuries is difcult and sometimesimpossible. Better prevention measures are required to minimize as much as possible theincidence of brain trauma.
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