In some of the brains of @entity542 , shearing of axons and vessels caused by direct impact is seen widely in the white matter. This @entity130 is designated by neuropathologists as @entity130 or diffuse damage of impact type. Macroscopic lesions adjacent to the superior cerebeller peduncle and lesions of the corpus callosum are commonly seen in the brains with severe shearing injuries and the former is detected by CT scan as a high density at the quadrigeminal cistern, and this indicates occurrence of a severe @entity130 . Among 600 @entity1 with @entity542 , we managed 23 cases with pure @entity130 . These cases are classified into three groups according to the duration of @entity772 . In the fulminant type (7 cases) the @entity1 had severe brainstem signs including @entity73 and died immediately after the injury. In the severe type (8 cases) the @entity1 were decerebrated with normal pupillary response on admission and were severely disabled (i.e. @entity400 , @entity2055 , @entity303 ). In the moderate type (8 cases), the @entity1 had only disturbance of consciousness for a long period, and recovered almost to the pre-injury state. Follow-up CT scan showed enlargement of the ventricles and sulci.

[Pure XXXX --clinical signs and symptoms, diagnosis, prognosis and review of the literature].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity303 :: ('MESH:D003704', 'Disease') :: ['dementia'] @entity73 :: ('MESH:D003072', 'Disease') :: ['impairment of vital signs'] @entity542 :: ('MESH:D006259', 'Disease') :: ['head injuries', 'head injury'] @entity2055 :: ('MESH:D001259', 'Disease') :: ['truncal ataxia'] @entity772 :: ('MESH:D003128', 'Disease') :: ['coma'] @entity400 :: ('MESH:D014202', 'Disease') :: ['tremor'] @entity130 :: ('MESH:D014947', 'Disease') :: ['type of injury', 'shear injury', 'shearing injury']
@entity130 :: (MESH:D014947,Disease) :: ['shearing injury']
