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BRAIN CHANGES IN PATIENTS WITH EXTENSIVE BODY BURNS

BRAIN CHANGES IN PATIENTS WITH EXTENSIVE BODY BURNS Abstract THERE are approximately 8,000 deaths of burns each year in the United States.1 With the newer concepts of treatment for burns, an increasing number of patients are kept alive who formerly may have succumbed. Although it is not possible to determine the incidence of brain changes in people with body burns, several cases have been reported. There are, however, so few neuropathological studies that, in order to describe the cerebral changes and their possible clinical implications, we are reporting two cases of patients who suffered extensive burns. REPORT OF CASES Case 1.— A 14-year-old boy suffered third-degree burns of 40% of his body surface in an airplane accident and lived 16 days. He was treated with plasma, whole blood, antibiotics, corticotropin (ACTH), and intravenous fluids. He became irrational on the seventh day, then anuric, and went into stupor; his temperature rose to 104 F., and he died. His brain References 1. Blocker, T. G., Jr.: Newer Concepts in the Treatment of Severe Extensive Burns , Surgery 29:154, 1951. 2. Globus, J. H., and Bender, M. B.: Disseminated Toxic Degenerative Encephalopathy Secondary to Extensive and Severe Burns , J. Nerv. & Ment. Dis. 83:518, 1936. 3. Roth, N.: Encephalopathy Due to Burns , Arch. Neurol. & Psychiat. 45:980, 1941. 4. Kruse, F.: Enzephalitis und Amaurose nach Verbrennung , Deutsche med. Wchnschr. 54:1039, 1928. 5. Cobb, S., and Lindemann, E.: Symposium on Management of Cocoanut Grove Burns at Massachusetts General Hospital: Neuropsychiatric Observations , Ann. Surg. 117:814, 1943. 6. Schachter, M.: Encephalopathies and Character Disorders Following Burns in Infants , Acta psychiat. et neurol. 25:285, 1950. 7. Crocco, G.: Case of Encephalitis Following Burns , Pediatría 57:551, 1949. 8. Morrison, B.: Study of Burns and Scalds in Children , Arch. Dis. Childhood 22:129, 1947. 9. Hughes, L.: Burns with Cerebral Complications , M. J. Australia 2:122, 1947. 10. Walker, J., Jr., and Shenkin, H.: Studies on the Toxemia Syndrome After Burns: Central Nervous System Changes as a Cause of Death , Ann. Surg. 121:301, 1945. 11. Brancati, R.: Sulla patogenesi della morte per ustione, con speciale riguardo allo studio del sistema nervoso , Policlinico (sez. chir.) 31:233, 1924. 12. Spielmeyer, W.: Histopathologie des Nervensystems , Berlin, Springer-Verlag, 1922. 13. Freeman, W.: Neuropathology , Philadelphia, W. B. Saunders Company, 1933. 14. Weil, A.: Textbook of Neuropathology , New York, Grune & Stratton, Inc., 1945. 15. Scheinker, I. M.: Medical Neuropathology , Springfield, Ill., Charles C Thomas, Publisher, 1951. 16. Pack, G. T., and Davis, A. H.: Burns: Types, Pathology and Management , Philadelphia, J. B. Lippincott Company, 1930. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

BRAIN CHANGES IN PATIENTS WITH EXTENSIVE BODY BURNS

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1954.02330040042003
Publisher site
See Article on Publisher Site

Abstract

Abstract THERE are approximately 8,000 deaths of burns each year in the United States.1 With the newer concepts of treatment for burns, an increasing number of patients are kept alive who formerly may have succumbed. Although it is not possible to determine the incidence of brain changes in people with body burns, several cases have been reported. There are, however, so few neuropathological studies that, in order to describe the cerebral changes and their possible clinical implications, we are reporting two cases of patients who suffered extensive burns. REPORT OF CASES Case 1.— A 14-year-old boy suffered third-degree burns of 40% of his body surface in an airplane accident and lived 16 days. He was treated with plasma, whole blood, antibiotics, corticotropin (ACTH), and intravenous fluids. He became irrational on the seventh day, then anuric, and went into stupor; his temperature rose to 104 F., and he died. His brain References 1. Blocker, T. G., Jr.: Newer Concepts in the Treatment of Severe Extensive Burns , Surgery 29:154, 1951. 2. Globus, J. H., and Bender, M. B.: Disseminated Toxic Degenerative Encephalopathy Secondary to Extensive and Severe Burns , J. Nerv. & Ment. Dis. 83:518, 1936. 3. Roth, N.: Encephalopathy Due to Burns , Arch. Neurol. & Psychiat. 45:980, 1941. 4. Kruse, F.: Enzephalitis und Amaurose nach Verbrennung , Deutsche med. Wchnschr. 54:1039, 1928. 5. Cobb, S., and Lindemann, E.: Symposium on Management of Cocoanut Grove Burns at Massachusetts General Hospital: Neuropsychiatric Observations , Ann. Surg. 117:814, 1943. 6. Schachter, M.: Encephalopathies and Character Disorders Following Burns in Infants , Acta psychiat. et neurol. 25:285, 1950. 7. Crocco, G.: Case of Encephalitis Following Burns , Pediatría 57:551, 1949. 8. Morrison, B.: Study of Burns and Scalds in Children , Arch. Dis. Childhood 22:129, 1947. 9. Hughes, L.: Burns with Cerebral Complications , M. J. Australia 2:122, 1947. 10. Walker, J., Jr., and Shenkin, H.: Studies on the Toxemia Syndrome After Burns: Central Nervous System Changes as a Cause of Death , Ann. Surg. 121:301, 1945. 11. Brancati, R.: Sulla patogenesi della morte per ustione, con speciale riguardo allo studio del sistema nervoso , Policlinico (sez. chir.) 31:233, 1924. 12. Spielmeyer, W.: Histopathologie des Nervensystems , Berlin, Springer-Verlag, 1922. 13. Freeman, W.: Neuropathology , Philadelphia, W. B. Saunders Company, 1933. 14. Weil, A.: Textbook of Neuropathology , New York, Grune & Stratton, Inc., 1945. 15. Scheinker, I. M.: Medical Neuropathology , Springfield, Ill., Charles C Thomas, Publisher, 1951. 16. Pack, G. T., and Davis, A. H.: Burns: Types, Pathology and Management , Philadelphia, J. B. Lippincott Company, 1930.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Oct 1, 1954

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