Decision making in head injury management in the Edwin Smith Papyrus

Sanchez, Gonzalo M.; Burridge, Alwyn Louise

doi:10.3171/foc-07/07/e5

“…3). The procedure chosen in each case was carried out in three Diagnoses: a medical condition I can treat, a medical condition I can contend with, and a medical condition you wilI not be able to treat [6,7,8,10]. There were 27 head injury cases of which 13 were fractures with neurological involvement and the rest only soft tissue injuries [6,8,10].…”

Section: The Egyptian Period-edwin Smith Papyrusmentioning

confidence: 99%

“…Observation and palpitation were transcendent and for first time the terms fracture, brain, meninges, convulsion, cerebrospinal fluid (CSF) and suture [6,8,10,11] (Fig. 4).…”

Section: The Egyptian Period-edwin Smith Papyrusmentioning

confidence: 99%

History of Traumatic Brain Injury (TBI)

Bertullo¹

2015

AJBM

View full text Add to dashboard Cite

History is of one of the many disciplines that is considered as science, and which allows past events to be studied. This allows us to know about past facts, accompany their evolution, the origin of many concepts and terms, as well as errors and myths, allowing a comprehensive understanding of the present and learning to improve the future.The importance of history is such that it ends up determining the culture of many countries and also frames scientific disciplines. The great advances in knowledge of neurological function and its brain localization began in the nineteenth century. It is only recently that head injuries are classified by their neurological deficit rather than the type of skull fracture. This is not surprising, since most head injuries were treated by general surgeons who knew little about neurological examination. Although the illustrations in the early sixteenth century showed the anisocoria, this condition was not mentioned until three centuries later, when Jonathan Hutchinson first reported a dilated pupil on the same side as an intracranial clot, and pointed out that it was due to the compression of the third cranial nerve.

show abstract

“…when the pyramids were built, being the first medical document recognized in the history of medicine [6,7] (Fig. 3).…”

Section: The Egyptian Period-edwin Smith Papyrusmentioning

confidence: 99%

History of Traumatic Brain Injury (TBI)

2015

AJBM

1

0

View full text Add to dashboard Cite

History is of one of the many disciplines that is considered as science, and which allows past events to be studied. This allows us to know about past facts, accompany their evolution, the origin of many concepts and terms, as well as errors and myths, allowing a comprehensive understanding of the present and learning to improve the future.The importance of history is such that it ends up determining the culture of many countries and also frames scientific disciplines. The great advances in knowledge of neurological function and its brain localization began in the nineteenth century. It is only recently that head injuries are classified by their neurological deficit rather than the type of skull fracture. This is not surprising, since most head injuries were treated by general surgeons who knew little about neurological examination. Although the illustrations in the early sixteenth century showed the anisocoria, this condition was not mentioned until three centuries later, when Jonathan Hutchinson first reported a dilated pupil on the same side as an intracranial clot, and pointed out that it was due to the compression of the third cranial nerve.

show abstract

“…This pathological entity, even though infrequently encountered in modern surgical practice, was described as early as 1650-1550 BC where it finds a distinct mention in Edwin Smith Papyrus which is a didactic trauma treatise of neurosurgical interest [2,3]. Either owing to the rarity of occurrence or neglect, this fracture remained unreported in surgical texts till as late as 1976 when Ralston mentioned its occurrence and reviewed the pathology [4].…”

Section: Introductionmentioning

confidence: 99%

Elevated Skull Fractures: an Under-Recognized Entity

Gupta

¹

,

Iyengar

²

,

Kayal

³

et al. 2014

View full text Add to dashboard Cite

Elevated skull fractures form a rare subset of compound skull fractures. Owing to the paucity of cases studied and reported, these fractures still remain an under-recognized entity. We attempt to highlight the incidence of these relatively rare presentations of head injury. We had prospectively studied eight cases of elevated skull fractures in a mixed population of adults (five patients) and pediatric age group (three patients). Patients were evaluated in terms of clinical presentation, mode and mechanism of injury, treatment options, and final outcome, highlighting the appropriate management strategies taken in each case. The injury in these patients was due to tangential impact of a heavy object or assault weapon. Compounding of the fracture externally and dural tears was an inconstant feature. Associated intracranial injuries were cerebral contusions and extradural hematomas. An initial conservative therapy was given to all pediatric patients while adult patients underwent explorative craniectomy and evacuation of hematoma. Although an unusual presentation of skull fractures, elevated skull fractures warrant an early diagnosis, careful clinical evaluation, and prompt surgical therapy (whenever needed) for a successful outcome.

show abstract

Decision making in head injury management in the Edwin Smith Papyrus

Cited by 39 publications

References 12 publications

History of Traumatic Brain Injury (TBI)

History of Traumatic Brain Injury (TBI)

History of Traumatic Brain Injury (TBI)

Elevated Skull Fractures: an Under-Recognized Entity

Contact Info

Product

Resources

About