- Type of paper
: Paper in book
Title: Palpebral and lacrimal pathways' injuries
- Authors:
- Stiglmayer-Šatović, Neda (44824)
- Editors
- Čupak, K
Publisher: Hrv. Akademija medicinskih znanosti i Ministarstvo obrane RH
Year: 1991
Pages: from 49 to 51
Language: hrvatski
- Type of paper
: Paper in book
Title: Orbital injuries in maxillofacial surgery
- Authors:
- Zajc, I
- Stiglmayer-Šatović, Neda (44824)
- Editors
- Čupak, K
Publisher: Hrv. Akademija medicinskih znanosti i Ministarstvo obrane RH
Year: 1991
Pages: from 52 to 53
Language: hrvatski
- Type of paper
: Paper in journal
Title: Patterns of lesions of corpus callosum in inner cerebral
trauma visualized by computed tomography
- Authors:
- Bešenski, Nada
- Jadro-Šantel, Dubravka (17611)
- Grčević, Nenad (14270)
Journal: Neuroradiology
Volume: 34
Year: 1992
Pages: from 126 to 130
Number of references: 20
Language: engleski
Summary: Computed tomography (CT) analysis of lesions of corpus
callosumin 13 patients with "inner cerebral trauma" showed
significantcongruence of linear translation of acceleration and
thetopographic distribution of such lesions. This congruence permitsCT to
be used to reconstruct the course of linear translation andthe site of the
main blow, which can be important in forensicuse. The findings of even a
small lesion in the corpus callosumindicates the need for further
investigation of other structureswhich are usually involved in inner
cerebral trauma, such ashippocampus and brainstem.
Keywords: corpus callosum, inner cerebral trauma, course of linear translation of acceleration, computed tomography
- Type of paper
: Paper in journal
Title: Computed tomography analysis of head and spinal cord
injuries inflicted by missles and explosives
- Authors:
- Kalousek, Miljenko (161363)
- Hat, J
- Krolo, I
- Marotti, M
- Lupret, V
- Smiljanić, D
Journal: Journal of Neuroimaging
Number: 3
Volume: 3
Year: 1993
Pages: from 178 to 183
Number of references: 18
Language: engleski
Summary: Cerebral and spinal column computed tomography (CT)
wereperformed in 53 patients wounded during the war in the Republicof
Croatia from June to December 1992. Of these, 36(67%)
sufferedcraniocerebral injuries; 10(18%) sustained facial, neck
andparanasal sinus wounds and 7(13%) had vertebral/paravertebrallesions. 25
(70%) of the patients with craniocerebral injurieshad penetrating wounds
with diffuse and multiple, predominantlyhemorrhagic lesions of cortical and
subcortical structures, withbasal ganglia lesions in 15(43%) and brainstem
lesions in 6(20%).Of the 7 vertebral studies, 4 showed paravertebral tissue
damageto the spinal column and cord.
Keywords: computed tomography, head injury, spinal cord injury
- Type of paper
: Paper in journal
Title: Posttraumatic hydrocephalus - the role of tears of choroid
tela and plexus as a source of intraventricular bleeding
- Authors:
- Dmitrović, Branko (130004)
- Grčević, Nenad (14270)
- Jadro-Šantel, Dubravka (17611)
Journal: Neurologia Croatica
Number: 4
ISSN: 0353-8842
Volume: 42
Year: 1993
Pages: from 337 to 348
Number of references: 20
Language: engleski
Summary: Hydrocephalus belongs to very frequent sequels of closed
headtrauma. Contrary to some previous hypothesis of an "ex-vacuo"mechanism
of such hydrocephalus, the authors' investigationsstrongly suggest that
arachnoidal adhesions due to subarachnoidalsuffusion of blood are
responsible for the phenomenon. Accordingto previous report of one of the
authors, tela chorioidea of thethird and lateral ventricles, as the most
delicate one of themidline structures, is frequently damaged in closed
brain injuryand represents the most frequent lesion withi the pattern
of"inner cerebral trauma". Author's preliminary observationssuggested that
even in cases with minimal blows, but sufficientto cause considerable
linear translation of acceleration, tearsof telas may occur and cause an
intraventricular bleeding, whichspreads with the CSF into the
subarachnoidal space producing areaction leading to impairment of the CSF
absorption and "normalpressure hydrocephalus".
On the basis of 35 new and carefully examined cases, the authorspresent new
evidence for such a phenomenon and mechanism ofhydrocephalus. According to
these correlative investigations, thetelas and the plexus are indeed a
critical point as a source ofintraventricular bleeding, which may be
overlooked in the acute"brain concussion", but might cause a serious
complication in theform of "normal pressure hydrocephalus".
Keywords: hydrocephalus, brain injury, intraventricular hemorrhage, chorioid tela, chorioid plexus
- Type of paper
: Paper in journal
Title: RECONSTRUCTION OF TRAUMATIZING FORCE DIRECTION IN RELATION
TO CORPUS CALLOSUM LOCATION OF TRAUMATIC LESIONS DETECTED BY COMPUTED
TOMOGRAPHY
- Authors:
- Kralj, Kruno
- Pavić, Dag
Journal: Neurologia Croatica
Number: 1
ISSN: 0353-8842
Volume: 42
Year: 1993
Pages: from 27 to 38
Number of references: 29
Language: engleski
Summary: Stimulated by discoveries of Grčević and other authors
about heconcept of "inner cerebral trauma" in centroaxial head injuries,the
authors tried to find out the possibilities of CT indiagnosis of traumatic
lesions of corpus callosum, which takesthe main place in that concept.
Founding her work on thehypothesis that in centroaxial head injuries,
traumatic lesionsof the intracranial structures occur along the vector of
lineartranslation of traumatic force, Žarković scientifically provedthis
faact on pathoanatomic material. The authors were interestedwhether it is
possible to obtain similar results on CT material.28 patients with
centroaxial head injury, depending on thepreliminary determined vector of
translation force (based on thevisible traumatic head lesions) were divided
into 3 groups: 1.oblique blow RF-LO (right frontal-left occipital); 2.
obliqueblow LF-RO (left frontal-right occipital) and 3. median blowMF-MO
(mediofrontal-mediooccipital). By diagnosing traumaticlesions of corpus
callosum on CT images, the authors tried toreconstruct the vector of linear
translation of traumatic force.This reconstructed vector was compared with
the preliminaryvector. The results confirm relatively good possibilities
ofmodern CT devices for such reconstruction, which may be ofimportance in
forensic medicine.
Keywords: corpus callosum, inner cerebral trauma, direction of traumatizing force, computed tomography
- Type of paper
: Paper in journal
Title: Distribution of traumatic lesions of corpus callosum in
"inner cerebral trauma"
- Authors:
- Žarković, Kamelija (149665)
- Jadro-Šantel, Dubravka (17611)
- Grčević, Nenad (14270)
Journal: Neurologia Croatica
Number: 3
ISSN: 0353-8842
Volume: 40
Year: 1991
Pages: from 129 to 155
Number of references: 23
Language: engleski
Summary: This study deals with the topographic distribution of
traumaticlesions in the corpus callosum (CC) within the pattern of
"innercerebral trauma" (ICT). Material for neuropathologicalinvestigations
consisted of 49 brains of patients who sufferedclosed head injury of the
acceleration type with the lineartranslation of acceleration along the
longer axis of the head. Asa control, 5 brains were investigated in which
the direction oflinear translation was latero-lateral. The patients were
dividedinto 4 groups according to reconstruction of traumatic event
andascertaining of the direction of linear translation ofacceleration: 1)
Medial blow, 2) Semioblique left blow, 3)Semioblique right blow, 4)
Vertex-base direction. Fornix andseptum pellucidum, as antomically adjacent
structures were alsoinvestigated. The results showed that the lesions in
the CC wererelated to the pattern of ICT and the biomechanical
conditionsoriganaly proposed by Lindenberg. These investigations,
carriedout on a representative material 54 brains and by
subserialhystological analysis of the entire CC, produced a new evidencefor
our previous preliminary observations about the correlationof the shape and
distribution of the periaxial lesions of the ICTand direction of linear
translation of accelerating forces. Ourpresent investigations showed a
striking congruence between thepattern of lesions within the CC in such
type of cerebral traumaand the course of linear translation of
acceleration.Furthermore, this study proved the importance of
topographicinterpretation of lesions in the CC in vivo i.e. by CT and
MRIexaminations, because they may serve as a significant informationfor
reconstruction of the biomechanical conditions of the injurywhich can be of
importance for early therapeutic strategy andforensic interpretations of
the accident. By using silverimpregnation-techniques we could confirm our
previously expressedconcept on "focalized" and not "diffuse" axonal
injuries in ICT.
Keywords: inner cerebral trauma, closed head injury, head injury of acceleration type, corpus callosum, forensic pathology, brain injury
- Type of paper
: Paper in journal
Title: Correlative pathology of subdural hematoma with computed
tomography
- Authors:
- Poljaković, Zdravka
- Petrušić, Ivan
- Kalousek, Miljenko (161363)
- Brzović, Zdravko
- Jadro-Šantel, Dubravka (17611)
Journal: Neurologia Croatica
Number: 1
ISSN: 0353-8842
Volume: 41
Year: 1992
Pages: from 21 to 32
Number of references: 20
Language: engleski
Summary: Subdural hematoma (SDH) develops as a result of bleeding in
thesubdural space. Accounting to nowadays accepted division, 3groups of SDH
can be differentiated: acute, subacute and chronic.The time elapsed from
the moment of occurence of hematoma to themoment of diagnose is the main
factor in determining the stage ofSDH. However, this time differs depending
on the author reportingit. SDH is most often diagnosed by CT. This method
is safe andreliable, giving the exact diagnose in more than 90% of
cases.According to the basic principle of "living pathology", theknowledge
of histological appearance of an investigated lesion isessential for the
diagnostic interpretation of the lesion inneuroimaging methods. Studies
correlating histological picture ofSDH and its appearance on CT have not
been carried out until now.In this work such a correlation was made and
some regularitiesconnecting these two methods were pointed out. Hyperdense
pictureof SDH on CT scans represents a hematoma containing almost
onlyerythrocytes and erythrocyte-fibrin component being formed.Hypodense
picture of SDH represents a hematoma containing fibrinand inflammatory
cells. Hematomas of mixed density in all casescontained a neomembrane.
Obvious histological differences between3 types of SDH have led to
conclusion that chronic SDH is not thelast stage of an "old" acute SDH.
Chronic and acute SDH aredifferent entities, considering their
etiopathogenetic andclinical picture, and especially their CT and
histopathologicalappearances.
Keywords: subdural hematoma, computed tomography of the brain, living pathology, neuropathological correlation
- Type of paper
: Paper in journal
Title: Computed tomography detection of minimal brain lesions in
closed cerebral trauma
- Authors:
- Bešenski, Nada
- Brzović, Zdravko
- Vučković-Prpić, Renata
- Jernej, B
- Žarković, Kamelija (149665)
- Hlavka, Vladimir (15892)
Journal: Neurologia Croatica
Number: 1
ISSN: 0353-8842
Volume: 41
Year: 1992
Pages: from 33 to 42
Number of references: 17
Language: engleski
Summary: From the group of patients with clinically manifested
closed headinjuries, patients with minimal traumatic lesions in the
brainparenchyma were separated and in addition radiographicallyanlysed.
There were 22 patients in the group. On plain CT scansthey had foci 5 to
10mm large caused by trauma. CT is suitablemethod for detecting minimal
traumatic brain lesions. Besides, itis suitable for the follow-up of the
lesion evolution dynamics,which comprises not only changes in the lesion
density but alsothe possibility of registering primarily reversible
butmacroscopically invisible lesions into visible irreversiblelesions on
the control scans. The finding of only one or twominimal lesions in
critical locations of "inner cerebral trauma"(ICT) always indicated the
possible existance of lesions in otherlocations within that pattern.
Minimal traumatic brain lesionsfrequently occur in ICT or in all cases
where the acceleration oftraumatizing force has antero-posterior or
postero-anteriorcourse of direction. Their recognition by neuroimaging
methods isof great importance due to the central localization of the
foci,which otherwise cannot be detected by other methods.
Keywords: inner cerebral trauma, minimal brain trauma, computed tomography
- Type of paper
: Paper in journal
Title: Diagnostic possibilities of closed head injuries of
acceleration type using computed tomography
- Authors:
- Tatalović-Osterman, Lj
- Jadro-Šantel, Dubravka (17611)
- Bešenski, Nada
Journal: Neurologia Croatica
Number: 4
ISSN: 0353-8842
Volume: 40
Year: 1991
Pages: from 231 to 245
Number of references: 22
Language: engleski
Summary: A group of 42 patients with closed head injury of
accelerationtype
is reported. All of them were treated at various departments ofthe General
Hospital in Maribor. The aim of investigation was tofind out the diagnostic
possibilities of head and brain damagesin closed head injury of
acceleration type by the method of CTand making comparison with the
clinical picture of eachindividual patient. The patients were not
investigated at randombut were grouped in accordance with the direction of
traumaticforce action. The CT analyses were performed according
tocharacteristic patterns of traumatic brain disease. Thecircumstances of
head injury were reliable guidelines fordevoting more attention to some
brain areas. The density of eachlesion was examined, too. The investigation
has shown thatlesions of "inner cerebral trauma" pattern are visible on CT
atleast as often as coup-contrecoup lesions or even more. Only incases with
latero-lateral direction of traumatizing force(control group) the latter
were more frequently found. Deepcerebral lesions of the latero-lateral type
of acceleration headtrauma were never or seldom encountered.
Keywords: closed head injury, acceleration injury, computed tomography, inner cerebral trauma, diagnostics
- Type of paper
: Paper in proceedings
Title: Pathogenic mechanisms and correlative neuropathology of
traumatic brain disease
- Authors:
- Grčević, Nenad (14270)
Proceedings title: Proceedings of the Symposium on evaluation and treatment of severe head injury
Language: engleski
Place: Ljubljana, SLOVENIJA
Year: 1992
Pages: from 13 to 14
Meeting: International Neurophysiological Symposium
- Type of paper
: Paper in proceedings
Title: Rules of occurence of traumatic foci in brain
- Authors:
- Jadro-Šantel, Dubravka (17611)
Proceedings title: Zbornik radova tečaja trajnog usavršavanja, Medicinski fakultet
Language: hrvatski
Place: Zagreb
Pages: from 0 to 0
- Type of paper
: Summary in proceedings
Title: Pathology of traumatic brain disease
- Authors:
- Grčević, Nenad (14270)
- Jadro-Šantel, Dubravka (17611)
Proceedings title: Book of abstracts
Language: engleski
Place: Beč, Austria
Year: 1991
Pages: from 31 to 31
Meeting: Second congress of the paneuropean society of neurology
Held: from 12/07/91 to 12/12/91
Summary: Under the term "Traumatic Brain Disease" we consider
clinical andpathological condition caused by and developed after
severeclosed head injury of the acceleration type. The pathologicalprocess
in the brain shows a wide range of features of which someare immediate and
primary irreversible, while the other arepartly or completely reversible.
In principle, the whole processis focalized displaying typical patterns of
distribution relatedto the biochemical conditions of the injurous event.
The mostcommon and best elaborated is the pattern of "inner
cerebraltrauma". Each focal lesion contains an "epicenter" with
primaryirreversible damage and a periepicentric "penumbra" in which manyof
the parenchymal elements are only reversible damaged, and someare
completely spared. Axonal injuries is the most pronounced inthe epicenters
and inner zones of the "penumbra" decreasing quiteabruptly towards the
outer zones of the periepicentric areas anddisappearing completely in the
undamaged periphery. Even in casesof the most severe acceleration head
injury a large pool ofcerebral tissue remains undamaged and axonal injury
retains afocal character, following the general shape of the pattern
ofdistribution of the lesion. In the periepicentric areas, due tosecondary
mechanism of edema, congestion, hypoxia and hemorrhage,a process of
secondary turning of reversible damage intoirreversible one takes place,
competing with the process ofrecovery. This pathological process may run
for a long timekeeping the affected areas active, with the occurence
ofreparative processes going on parallel with the new (secondary)changes in
the parenchymal tissue. The periepicentric areasretain their range or may
even expand with the end result in alarge and widespread cerebral process
with complex clinicalpicture. On the other hand, under good conditions, a
large poolof reversibly damaged parenchyma recovers; the penumbra
decreasesand the end result morphologically corresponds to the pattern
ofthe primary irreversible lesions.
Keywords: closed head injury, axonal injury, inner cerebral trauma, neuropathology
- Type of paper
: Summary in proceedings
Title: Orbital injuries in the patriotic war of Croatia
- Authors:
- Stiglmayer-Šatović, Neda (44824)
- Zajc, I
Proceedings title: Congress book
Language: engleski
Place: Geneve, SWITZERLAND
Year: 1992
Pages: from 42 to 42
Meeting: II international symposium on occular trauma
- Type of paper
: Summary in proceedings
Title: Neuropathological analysis of antero-posterior
distribution of lesions of the corpus callosum in "inner cerebral trauma"
- Authors:
- Žarković, Kamelija (149665)
- Jadro-Šantel, Dubravka (17611)
- Grčević, Nenad (14270)
Proceedings title: Donau Symposium
Language: engleski
Place: Budapest, HUNGARY
Year: 1992
Pages: from 86 to 86
Meeting: Donau Symposium, 1992
- Type of paper
: Summary in proceedings
Title: Visualization of lesions of the "inner cerebral trauma" by
computed tomography
- Authors:
- Bešenski, Nada
- Grčević, Nenad (14270)
- Jadro-Šantel, Dubravka (17611)
Proceedings title: Book of abstracts
Language: engleski
Place: Stockholm, SWEDEN
Year: 1992
Pages: from 29 to 29
Meeting: VIII congress of European Society of Neuroradiology
- Type of paper
: Summary in proceedings
Title: Computed tomography analysis of missile head wounds during
the war in Croatia
- Authors:
- Bešenski, Nada
- Pavan, G
- Glavina, K
- Mašković, J
- Vojnić, Lj
- Halaji-Laaby, A
- Franko, A
- Vučković-Prpić, Renata
- Chudy, D
Proceedings title: Congress book
Language: engleski
Place: Beč, Austria
Year: 1993
Pages: from 156 to 156
Meeting: VIII European congress of Radiology
- Type of paper
: Summary in proceedings
Title: The course of traumatizing force in head injury of
acceleration type: CT evidence
- Authors:
- Bešenski, Nada
- Broz, Ranko
- Jadro-Šantel, Dubravka (17611)
- Pavić, Dag
- Mikulic, D
Proceedings title: European Radiology Vol.5 Supplement - ECR '95
Language: engleski
Place: Beč, Austria
Year: 1995
Pages: from S226 to s226
Meeting: IX European congress of radiology
Held: from 03/05/95 to 03/10/95
Summary: Since brain damage in closed head injury depends on the
site of impact and on the course of traumatizing force, their
reconstruction was attempted by CT. Material for this study consisted of 45
CT scans of persons who had suffered closed head injury. We analyzed soft
tissue contusions, skull fractures, cerebral contusions, i.e. coup and
contrecoup lesions. Each transversal CT scan was divided into 12 sections
imitating the clock face to allow computerized graphic presentation of the
trauma event. We found multiple lesions in 87% of cases, most ferquently in
frontal (51%) and temporal lobe (26%). The site of impact and traumatizing
force were reconstructed and graphically presented on the basisi of soft
tissue contusions (71%), skull fractures (36%) and coup and contre coup
lesions. Comparision of computerized graphic presentation of the site of
impact, direction of trauma force and the localization of lesions revealed
a high correlation between them. In 80% the site of impact could be
visualised only by CT. The acceleration force acted along the longer axis
of the head in 87%, and along the shorter one in 13% of cases.
Reconstructing the course of traumatizing force by CT has far reaching
prognostic and forensic implications.
Keywords: closed head injury, CT, inner cerebral trauma
- Type of paper
: Summary in proceedings
Title: The course of traumatizing force in head injury of the
acceleration type: CT evidence
- Authors:
- Bešenski, Nada
- Broz, Ranko
- Jadro-Šantel, Dubravka (17611)
- Pavić, Dag
Proceedings title: Book of abstracts
Language: engleski
Year: 1994
Pages: from 55 to 55
Meeting: 27th Donau Symposium
Held: from 09/22/94 to 09/24/94
- Type of paper
: Summary in proceedings
Title: CT in understanding of the mechanism of missile head
injury
- Authors:
- Bešenski, Nada
- Jadro-Šantel, Dubravka (17611)
- Grčević, Nenad (14270)
Proceedings title: Book of abstracts
Language: engleski
Year: 1994
Pages: from 56 to 56
Meeting: 27th Donau Symposium
Held: from 09/22/94 to 09/24/94
- Type of paper
: Summary in proceedings
Title: Clinacal signs of the traumatic apallic syndrome
- Authors:
- Bešenski, Nada
Language: engleski
Year: 1994
Meeting: 1994 Meeting of the EFNS
Held: from 11/24/94 to 11/26/94
- Type of paper
: Mentorship
Title: CT in the diagnosis of closed head injury
Faculty: Medicinski Zagreb
Mentor: BEŠENSKI NADA
Date of defense: 06/01/94
Number of pages: 43
Author: Broz Mr dr Ranko
Degree level: M.A.
