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Prior Trauma (prior + trauma)

Distribution by Scientific Domains

Medical Sciences	50%

Selected Abstracts

Idiopathic Circumscripta Calcinosis Cutis of the Knee

DERMATOLOGIC SURGERY, Issue 12 2003
FACS, Luigi Valdatta MD
Background. Calcinosis cutis, a disease characterized by the presence of calcium deposits in the skin, is classified into four types according to etiology: dystrophic, metastatic, iatrogenic and idiopathic. The dystrophic form is the most common while the idiopathic one is the rarest, but specific incidence and frequency data are not available in scientific literature. Objective. Calcinosis cutis circumscripta is a very rare form of idiopathic calcinosis cutis arising in the second half of life. It typically involves the extremities and is associated with prior trauma and scleroderma. We dealt with a very rare form of calcinosis cutis circumscripta in a healthy patient, for whom surgical excision revealed to be an effective and successful treatment. Methods and materials. We present the case of a 46-year-old woman affected by idiopathic circumscripta calcinosis cutis of the left knee, successfully treated by surgical removal. Discussion. Medical and surgical treatment are options to cure calcinosis cutis. Medical therapy is not very effective. Surgical excision has shown to be beneficial, as it can provide a symptomatic relief. However, since calcinosis cutis limits are not always well defined a recurrence of the lesions may occur. [source]

Intracranial haemorrhage in patients with congenital haemostatic defects

HAEMOPHILIA, Issue 5 2008
P. MISHRA
Summary., We investigated 52 of 457 patients with congenital factor deficiencies with 57 episodes of intracranial haemorrhage (ICH) between 1998 and 2007. There were 38 severe haemophiliacs, 6 with factor XIII deficiency, 5 with factor X deficiency, 2 factor V-deficient patients, and 1 with type 3 von Willebrand disease (VWD). The median age was 8 years (range 1 month,22 years). Most patients were below 15 years of age (86.5%). All patients with factor X deficiency were between 1 and 5 months of age. ICH was the primary bleeding episode leading to detection of factor deficiency in 19.2% (five patients with severe haemophilia and all patients with factor X deficiency). Trauma caused bleeding in 66%. None of the patients with factor X deficiency had history of prior trauma. Surgery was performed in five patients with subdural haematomas, all of whom survived. Conservative factor replacement with 100% correction for 3 days followed by 50,60% correction for 7 days was possible in 60% patients. Seizures requiring prolonged therapy were noted in eight patients. Death was recorded in 15 patients (29%). Inadequate therapy in the form of delay or insufficient replacement was noted in 7/15 deaths. ICH was seen in 11.3% of all patients with coagulation factor deficiencies. Factor X deficiency presented with ICH at an earlier age. Inadequate replacement therapy including delayed treatment caused nearly 50% of all deaths. Most patients can be managed satisfactorily with adequate replacement therapy alone, with surgery being reserved for those with worsening neurological conditions. [source]

Can Birth Trauma Be Confused for Abuse?

JOURNAL OF FORENSIC SCIENCES, Issue 4 2010
Bryan C. Patonay M.D.
Abstract:, An unexpected infant death is usually investigated with a complete autopsy. If evidence of prior trauma is found at autopsy in these cases, suspicion is raised for nonaccidental trauma. In a young infant, the residua of trauma received during birth has the potential to be incorrectly interpreted as nonaccidental trauma. We report a the findings of a 4 1/2-month-old-infant that died unexpectedly with a healing linear skull fracture and a circular lesion over the calvarium found at autopsy. Though this lesion was concerning, the remainder of the autopsy and the histological findings did not support a diagnosis of recent trauma. Review of the literature describing birth injuries made the diagnosis of healing, residual birth trauma more convincing in this case. [source]

Endovascular-covered stent treatment of posttraumatic cervical carotid artery pseudoaneurysms

JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY, Issue 2 2004
Tanveer ul Haq
Summary Pseudoaneurysm involving the cervical portion of the carotid artery can result from prior trauma or dissection. Two patients are reported with posttraumatic carotid artery pseudoaneurysms. In both cases, endovascular-covered stents were placed across the diseased portion of the artery resulting in thrombosis of the aneurysm and preservation of the parent artery without any significant complication. It is therefore concluded that covered stent placement is an alternative approach in treating carotid artery pseudoaneurysms. [source]

Posttraumatic stress symptom trajectories in children living in families reported for family violence,

JOURNAL OF TRAUMATIC STRESS, Issue 5 2009
Nicole R. Nugent
The present study examined latent class trajectories of posttraumatic stress disorder (PTSD) and associations between demographics, prior trauma, and reason for referral on class membership. Children ages 7,18 (n=201) were recruited for participation in the Navy Family Study following reports to the U.S. Navy's Family Advocacy Program (FAP). Initial interviews were conducted 2,6 weeks following FAP referral, with follow-ups conducted at 9,12, 18,24, and 36,40 months. Growth mixture modeling revealed two latent class trajectories: a resilient class and a persistent symptom class. Relative to youth in the resilient class, participants in the persistent symptom class were more likely to be older and to report exposure to a greater number of trauma experiences at Time 1. [source]

Trauma history characteristics and subsequent PTSD symptoms in motor vehicle accident victims,

JOURNAL OF TRAUMATIC STRESS, Issue 4 2008
Leah Irish
The present study examined the relationship between trauma history characteristics (number and type of traumas, age at first trauma, and subjective responses to prior traumas) and the development of posttraumatic stress disorder (PTSD) symptoms following a motor vehicle accident (MVA). One hundred eighty-eight adult MVA victims provided information about prior traumatization and were evaluated for PTSD symptoms 6 weeks and one year following the MVA. Results indicated that after controlling for demographics and depression, prior trauma history characteristics accounted for a small, but significant amount of the variance in PTSD symptoms. Distress from prior trauma and number of types of prior traumas were the most meaningful trauma history predictors. Results encourage further evaluation of trauma history as a multifaceted construct. [source]

Sight-threatening orbital emphysema treated with needle decompression

CLINICAL & EXPERIMENTAL OPHTHALMOLOGY, Issue 4 2007
Mandeep Singh MRCSEd
Abstract Orbital emphysema is rare in the absence of trauma, and is unlikely to result in visual loss. The authors describe a patient with no prior trauma who presented with decreased vision and increased intraocular pressure due to severe orbital emphysema after a sneeze. Computed tomography revealed subcutaneous emphysema of the lid and extraconal air in the orbit. Emergency needle decompression resulted in improvement in vision and intraocular pressure. [source]