83. Studies on the Residual Syndrome of Head Injury

Hakuji ITO, Yozo SUZUKI
1966 Neurologia medico-chirurgica  
We often observe polydipsia and polyuria after severe head injuries. This study represents our experience with 8 cases following polyuria of head injuries 980 cases (except Araki's type I) during the past 5 years (0.82%). Of these 8 cases, 5 cases with skull fracture urinated daily about 8-10 liters. Pituitary posterior hormone and thiazide-derivative were used but the effect was transitory, polyuria appeared again by suspension of medication. However the prognosis is comparatively good and
more » ... tively good and urinary quantity decreased as much as 2-3 liters after 6-10 months, but yet the deficit syndromes, such as excitability and emotional incontinence have remained. The other 3 cases, wiwthout skull fracture, urinated daily about 3-5 liters, invalid by any medication, the prognosis is passably worse and the conditions have no changes after a few years. It seems that diabetes insipidus after severe head injuries in classified in two types. We referred to pathogenesis and prognosis, considering the hydrate metabolism and the hormonal control. A Study of Pneumoencephalography after Craniocerebral Injury Takeshi SHINOHARA, Kenz6 YADA, YUZO IWASAKI, Tokio OHKOUCHI and Kazuyoshi UENO In the past 2 and half years we experienced 2584 cases of head injuries, among which penumoencephalography (PEG) was performed 251 times in 232 cases. The present work is a clinical study of 156 cases with head injuries, in which the relationship between PEG findings and clinical diagnosis, or the duration of post-traumatic amnesia (P.T.A.) was discussed. In this study the cases below 15 or over 50 years of age were excluded, and all cases with the past history of central nervous system disorders were also excluded. -166-
doi:10.2176/nmc.8.166a fatcat:jl6gox2x55d5dnsqmdf6vx7pvi