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Neurologic consequences of traumatic asphyxia.

W R Jongewaard1, T H Cogbill, J Landercasper

  • 1Department of Surgery, Gundersen Clinic, Ltd., La Crosse, WI 54601.

The Journal of Trauma
|January 1, 1992
PubMed
Summary

Traumatic asphyxia, caused by severe crush injuries, can lead to temporary neurologic issues like confusion and seizures. Fortunately, this study found no long-term neurologic damage in patients with traumatic asphyxia.

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Area of Science:

  • Trauma Surgery
  • Neurology
  • Emergency Medicine

Background:

  • Traumatic asphyxia is a rare but severe condition resulting from blunt force trauma to the chest.
  • Understanding the incidence and neurological consequences is crucial for patient management.

Purpose of the Study:

  • To determine the incidence and neurological sequelae of traumatic asphyxia.
  • To analyze the mechanisms of injury and associated clinical presentations.

Main Methods:

  • Retrospective study of patients treated for traumatic asphyxia over a 10-year period.
  • Inclusion criteria: thoracic crush injuries from objects >1,000 pounds.
  • Data collection included injury mechanism, clinical signs, and neurological assessments.

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Main Results:

  • 14 patients (ages 4-73) with traumatic asphyxia were identified.
  • Common injury mechanisms included farm implements, vehicles, and large objects.
  • All patients presented with craniocervical cyanosis and subconjunctival hemorrhage.
  • Neurologic abnormalities observed: loss of consciousness (8), confusion (5), seizures (2), visual disturbances (2).
  • No deaths or long-term neurologic sequelae were observed in this cohort.

Conclusions:

  • Traumatic asphyxia can cause transient neurologic symptoms.
  • Prompt and thorough neurologic assessment is vital in these patients.
  • Exclusion of other neurological causes is recommended.