Lei Zhang, Jerome R Kolbo, Melissa Kirkup, Elaine Fontenot Molaison, Bonnie L Harbaugh, Nichole Werle, Evelyn Walker
Prevalence and trends in overweight and obesity among Mississippi public school students, 2005-2013
Journal of the Mississippi State Medical Association
traumatic brain injuries involving posterior fossa rare case reports indicate often result severe outcomes seek describe characteristics outcomes traumatic posterior fossa injuries performed planned secondary analysis patients posterior fossa injuries enrolled nexus head computed tomography ct validation study dataset dataset includes prospectively collected data patients undergoing noncontrast cranial ct following blunt traumatic head injury april 2006 december 2015 four emergency departments comprising community university sites well urban suburban rural settings california antelope valley hospital san francisco general hospital ucla ronald reagan medical center ucsf fresno community regional medical center classified patient one three injury patterns type inotable traumatic injuries primarily tentorium minimal posterior fossa involvement type iinotable traumatic injuries within posterior fossa type iiinotable traumatic injuries primarily within posterior fossa extracted demographic data patient well physician assessments nexus head ct canadian head ct rule clinical criteria mechanisms injury patient outcomes location types intracranial injuries sustained 11770 patients database 184 16 posterior fossa injuries ct imaging mean age 554 years standard deviation 225 years range 296 years 131 712 males identified 63 patients type injuries 87 type ii injuries 34 type iii injuries common mechanisms injury falls 41 pedestrian vs automobile 15 motor vehicle collisions 13 presentation patients altered mental status 72 abnormal behavior 53 neurologic deficit 55 majority individuals 151 82 clinically important injuries 111 60 required neurosurgical intervention dispositions subjects included 52 deaths 28 49 27 patients discharged home 48 26 discharged rehabilitation facilities compared individuals type type ii injuries patients type iii injuries lower mortality 6 vs 30 35 higher percentage patients discharged home 60 vs 19 21 patients type ii injury patterns involve posterior fossa supratentorium experienced high mortality disability patients type iii injuries isolated posterior fossa better prognosis none