び漫性軸索損傷を併発した顎顔面外傷患者6例の検討

  • 山城 崇裕
    飯塚病院歯科口腔外科 九州大学大学院歯学研究院口腔顎顔面病態学講座口腔顎顔面外科学分野
  • 中松 耕治
    飯塚病院歯科口腔外科
  • 中村 愛
    飯塚病院歯科口腔外科
  • 熊丸 渉
    飯塚病院歯科口腔外科 九州大学大学院歯学研究院口腔顎顔面病態学講座口腔顎顔面外科学分野
  • 平木 昭光
    飯塚病院歯科口腔外科 熊本大学大学院医学薬学研究部総合医薬科学部門感覚・運動医学講座顎口腔病態学分野
  • 中尾 祐
    飯塚病院歯科口腔外科 九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野

書誌事項

タイトル別名
  • Six cases of diffuse axonal injury with maxillofacial injury
  • ビマンセイジクサクソンショウ オ ヘイハツ シタ ガク ガンメン ガイショウ カンジャ 6レイ ノ ケントウ

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抄録

BACKGROUND: Diffuse axonal injury (DAI) is a major complication of traumatic brain injury that leads to severe functional disorder. To our knowledge, no studies have been previously reported on the correlation between DAI and maxillofacial injury. The aim of this analysis is to review the outcome of DAI with maxillofacial injury. METHODS: We reported 6 DAI patients with oral and maxillofacial injury out of 28 DAI patients treated in Iizuka Hospital between 2001 and 2008. Age, etiology, GCS (Glasgow Coma Scale) about consciousness, and GOS (Glasgow Outcome Scale) for prognosis implication were retrospectively analyzed. Result: GCS score of 6 patients ranged from 3 to 8 on arrival, and they did not change 48 hours later. Two patients were moderate DAI and four were severe DAI. Two patients of severe DAI resulted in poor outcome (severe disability) but others showed relatively good GOS (good recovery and moderate disability). CONCLUSIONS: Outcomes of DAI patients with oral and maxillofacial injury were better than those of DAI patients without oral and maxillofacial injury.

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