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ASTM Selected Technical Papers
Head and Neck Injuries in Sports
By
EF Hoerner, M.D.
EF Hoerner, M.D.
1
Chairman
, Subcommittee F08.51 on Medical Aspects and Biomechanics, ASTM
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ISBN-10:
0-8031-1886-4
ISBN:
978-0-8031-1886-7
No. of Pages:
872
Publisher:
ASTM International
Publication date:
1994
eBook Chapter
Head Injured Patients Who Talk Before Deterioration or Death: The TADD Syndrome
By
AK Ommaya
,
AK Ommaya
1
Professor of Neurosurgery
, The George Washington University Medical Center
, President
, Center for Interdisciplinary Brain Research (C.I.B.R.)
, 8006 Glenbrook Road, Bethesda, MD 20814
.
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LE Thibault
,
LE Thibault
2
Professor of Bioengineering, Assistant Professor of Bioengineering, and Assistant Professor of Bioengineering
respectively, University of Pennsylvania
, Dept. of Bioengineering, Room 120/Hayden Hall, 240 So. 33rd Street, Philadelphia, PA 19104-6392
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RJ Boock
,
RJ Boock
2
Professor of Bioengineering, Assistant Professor of Bioengineering, and Assistant Professor of Bioengineering
respectively, University of Pennsylvania
, Dept. of Bioengineering, Room 120/Hayden Hall, 240 So. 33rd Street, Philadelphia, PA 19104-6392
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DF Meaney
DF Meaney
2
Professor of Bioengineering, Assistant Professor of Bioengineering, and Assistant Professor of Bioengineering
respectively, University of Pennsylvania
, Dept. of Bioengineering, Room 120/Hayden Hall, 240 So. 33rd Street, Philadelphia, PA 19104-6392
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Page Count:
17
-
Published:1994
Citation
Ommaya, A, Thibault, L, Boock, R, & Meaney, D. "Head Injured Patients Who Talk Before Deterioration or Death: The TADD Syndrome." Head and Neck Injuries in Sports. Ed. Hoerner, E. 100 Barr Harbor Drive, PO Box C700, West Conshohocken, PA 19428-2959 : ASTM International, 1994.
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A review of a class of head injured patients who display a lucid interval before onset of coma which defines an important category of brain trauma. A hypothesis explaining the mechanism of this syndrome (T.A.D.D.) is developed on the basis of in-vitro testing of venous and arterial responses to tensile strains and the relevant clinico-pathologic data are reviewed. Venospasm is proposed as the cause of secondary ischemic hypoxia associated with a high incidence of acute subdural hematomas and brain swelling. Suggestions for further testing of this hypothesis and implications for preventive management are discussed.
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