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At least 1,135 records · Page 63Linked to original sources
PubMed1978

[Traumatic thrombosis of the carotis artery (author's transl)].

The case of an 51-year-old man, who died about 24 hrs after having tried to commit suicide by hanging is reported. Death was caused by rupture of an arteriosclerotic layer in the left carotis communis artery with consecutive intramural bleeding and thrombosis of the left carotis communis, carotis interna and carotis externa arteries. In this respect another case of an injury of the neck and thrombosis of the carotis interna artery is reported. On the basis of these two cases the clinical and legal importance of diagnosis and causal connexion are discussed.

Carotid Artery Thrombosis↗
PubMed1994

Chronic pain after soft-tissue injury of the cervical spine: trapezius muscle blood flow and electromyography at static loads and fatigue.

Microcirculation in the upper portion of the right and left trapezius muscles was measured percutaneously by laser-doppler flowmetry (LDF) during two 10-min-long series of alternating 1-min periods of static contraction and rest determined electromyographically (EMG). Twenty-five patients with pain persisting after a soft-tissue injury of the neck were studied. Pain assessments by using visual analogue scales and drawings showed 13 patients with predominantly unilateral and 12 with bilateral neck-shoulder pain, in some cases with arm pain and numbness. Mean age was 41 (23-58) and 39 (22-54) years and a female/male ratio 8:5 and 10:2, respectively. Stepwise increased contraction was induced by keeping straight arms at 30 degrees, 60 degrees, 90 degrees and 135 degrees of elevation, and repeated with a 1 kg (women) or 2 kg (men) hand loads. Signal processing was done on-line by using a 386SX computer. LDF and EMG values were normalized. Spectral shift of EMG mean power frequency (MPF) for fatigue was analyzed. Muscle blood flow on the "normal" side in the unilateral pain group showed an ordinary increase at increased angle of arm elevation, shoulder torque and EMG amplitude. On the painful side, during increased muscle tension and fatigue, the ability to increase blood flow appeared to be impaired, and there was no consistent increase in either side of the bilateral pain group. EMG amplitude showed a significant positive correlation to the angle of arm elevation and shoulder torque. The rms-EMG (root mean squared EMG) increase was lower in the painful side at high force contraction (non-normalized data).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1990

The use of MRI in the identification of post-traumatic laryngeal deformities.

Suspected post-traumatic deformity of the laryngeal cartilages can be diagnosed by using current magnetic resonance imaging (MRI) scanning techniques. This is of particular aid to the clinician who is evaluating a laryngeal mass with no history of injury to the neck. Computed tomography (CT) and magnetic resonance imaging are both effective in this situation, but MRI appreciates better soft tissue contrast, and can offer coronal and sagittal views.

Aged↗
PubMed1993

The development of guideline factors for the evaluation of disability in neck and back injuries. Division of Industrial Accidents, State of California.

This is the second article documenting the development of guideline factors for the evaluation of spine injuries by a committee supported by the Division of Industrial Accidents (DIA) in the State of California. The committee was asked to develop guidelines that incorporated cervical and thoracic spine injuries into the original guidelines developed for lumbar spine injuries (Clark et al, Spine 1988; 13:332). Multiple Independent Medical Examiners (IMEs) were requested to rate disability on 42 case reports submitted to the DIA. A tremendous variation existed in the disability rating recommended by physicians given the same set of facts. One hundred eighty-five IMEs then were asked to evaluate a series of potential factors influencing disability. Each factor was listed according to its perceived importance in determining disability. These factors then were subjected to an intensive search of the medical and scientific literature to determine their validity. A final list of 28 factors for the cervical and thoracic spine were developed and combined with the previously published factors for the lumbar spine. This led to the development of 37 factors or guidelines for the evaluation of spine disability. Testing of this schedule was performed by reviewing 159 submitted disability consultation reports. This review showed that there were no factors in the reports that were not included in the schedule. An average of 3.1 subjective factors and 2.3 objective factors were noted in the reports, with a very poor relationship between the number of factors and the level of disability given by the assessing physician. It is thought that the incorporation of the proposed guideline factors into the current disability rating system would allow for a more reproducible evaluation of disability and allow Workers' Compensation judges and administrators to make disability decisions based on documentable and reliable facts.

Back Pain↗
PubMed1989

Do head-restraints protect the neck from whiplash injuries?

Over an 11-month period a study was made of all patients presenting to an accident and emergency department who had sustained whiplash as a result of rear-bumper impacts. The patients were analysed with respect to the presence of head-restraints in their vehicles. A significant increase in the incidence of whiplash was found in patients whose vehicles did not have head-restraints fitted. Legislation requiring all passenger cars to have head-restraints fitted as standard would have a major impact in reducing the number of whiplash injuries sustained in rear bumper impacts.

Accidents, Traffic↗
PubMed2002

Forensic cases of seemingly ligature strangulation.

Many external injuries on the neck can often simulate ligature strangulation. This similarity could lead to mistakes or overestimation of these findings and consider them as violent deaths. Therefore, when the work of the forensic pathologist is to limit the external examination of body, the conclusions can be mistaken or wrong. In the present article four cases of apparent ligature strangulation are showed. All the autopsies were performed and completed with microscopical and toxicological examinations. During necropsic examination different causes of death, other than the initial suspected, were discobered.

Adult↗
PubMed1991

Medico-legal aspects of embolism with a case illustration.

An adult male sustained a number of stab injuries and other injuries including a fatal stab injury to the neck. There was evidence of air embolism which was considered to be a major factor causing death. The discussion is in four parts. Part I is confined to the post mortem examination. Part II relates to the medico-legal aspects of the case. Part III is a general discussion on embolism and its medico-legal significance whilst Part IV is on the medico-legal aspects of air embolism.

Adult↗