Accession Number : AD0710997

Title :   CRANIOCEREBRAL TRAUMA IN VIETNAM.

Descriptive Note : Technical rept. Jan-Apr 70,

Corporate Author : EDGEWOOD ARSENAL MD

Personal Author(s) : Sunshine,Ian

Report Date : JUL 1970

Pagination or Media Count : 23

Abstract : In this study 255 casualties who sustained craniocerebral trauma in Vietnam are analyzed. Included in this group are US Army and US Marine Corps casualties injured in combat from July 1967 to June 1969. It was concluded that extensive skull injuries occur more frequently in fatalities than in survivors. Injuries to multiple brain areas also occur more in fatalities. Perforating wounds were almost always lethal in this study. Frontal-lobe injuries, which occur more frequently in survivors than other single-lobe injuries, are less apt to cause neurological symptoms than other brain injuries. In general, survivors with single-lobe injuries have a much better clinical course than those with multiple-lobe injuries. Tangential wounds must not be underestimated. High-velocity missiles that strike the head tangentially may impart a great amount of kinetic energy to the skull. As a result, numerous fragments of bone may be driven into the brain and cause severe cerebral trauma. Proper surgical management of penetrating brain injuries consists of excising the injured bone and debriding all devitalized brain tissue. Anticonvulsant therapy and intensive antibiotic therapy are essential in all cases of craniocerebral trauma. (Author)

Descriptors :   (*HEAD(ANATOMY), *WOUNDS AND INJURIES), (*BRAIN, WOUNDS AND INJURIES), (*BATTLES, VIETNAM), CASUALTIES, SURGERY, THERAPY, CHEMOTHERAPY, MILITARY PERSONNEL, BONES, (U)BONES

Subject Categories : Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE