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Severe Craniocerebral Trauma and Respiratory AbnormalitiesI. Physiological Studies With Specific Reference to Effect of Tracheostomy on Survival
CHIN TANG HUANG, MD;
ALBERT W. COOK, MD;
HAROLD A. LYONS, MD
Arch Neurol. 1963;9(5):545-554.
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Disturbances in respiration commonly accompany severe craniocerebral injuries. Abnormal respiratory patterns such as hyperpnea, hiccoughing, Biot's respiration, and periodic respiration of the Cheyne-Stoke's type have all been observed from time to time in patients with severe brain injuries and in particular in those patients in whom dysfunction of the brain stem exists. Other unclassified types of breathing patterns have been encountered, wherein "gasps" occur or where an unusual length occurs for either the inspiratory or the expiratory phase. These abnormal breathing patterns are associated with severe disturbance in respiratory function and are a result of the malformation of the central nervous system. Pulmonary infection and pulmonary edema are common findings at autopsy in patients who succumb from severe cranio-cerebral trauma.
Although the importance of respiratory abnormalities in patients with craniocerebral injuries has been acknowledged, few physiological studies have been made.1,2,15,16 Anoxia from respiratory insufficiency in patients with head trauma
. . . [Full Text PDF of this Article]
Author Affiliations
BROOKLYN, NY
Footnotes
Submitted for publication July 25, 1963; accepted Aug 17.
Pulmonary Disease Division, Department of Medicine, and Division of Neurosurgery, Department of Surgery, Downstate Medical Center, State University of New York, and the Kings County Hospital Center.
This study was supported by Public Health Service grant B-1594 (C3).
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