Michael R Fearnside

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A prospective study of 315 consecutive patients with a severe head injury was undertaken to study factors contributing to mortality and morbidity, both in the pre-hospital and hospital phases. Entry criteria were a Glasgow Coma Scale (GCS) score of 8 or less after non-surgical resuscitation within 6 h of the injury, or a deterioration to that level within(More)
Intracranial electrode monitoring is still required in epilepsy surgery; however, it is associated with significant morbidity. To identify risk factors associated with complications during invasive intracranial EEG monitoring. Retrospective study of all patients undergoing invasive monitoring at Westmead between 1988–2004. From detailed chart reviews, the(More)
Cerebral blood flow velocities were measured in 50 severely head injured (Glasgow Coma Scale (GCS) 8 or less) patients using transcranial Doppler ultrasonography (TCD). Abnormally high TCD velocities were recorded in 35 patients; in 20 this was deemed to be due to vasospasm and in the other 15 to hyperemia. Patients who developed hyperemia also had the(More)
Thirty-one patients who were in coma or persistent vegetative state two weeks after sustaining a severe head injury were entered into a coma arousal programme. The coma arousal protocol called for a sequence of vigorous multisensory stimulations to be applied to the patient by a relative for up to eight hours a day for seven days a week. An independent(More)
A retrospective study of 70 consecutive patients with a cauda equina tumour who were admitted to Neurosurgical Department at the Radcliffe Infirmary, Oxford is presented. The diagnosis of these tumours is often difficult and delayed. The quality of life largely depends upon the neurological disability at presentation. The diagnostic features and(More)
Extracranial metastasis of an intracranial meningioma is rare. We discuss the clinical, radiological and histopathological presentation of an elderly man with pulmonary metastases from a recurrent meningioma of atypical histology, and review the literature pertaining to this phenomenon.
OBJECTIVE To establish the rate of and reasons for cancellations of surgery on the scheduled day in an Australian hospital. DESIGN Prospective survey. SETTING Major metropolitan tertiary hospital, 13 May to 15 November 2002. MAIN OUTCOME MEASURES Proportion of operations cancelled on the day of surgery, obtained each day from the operating theatre(More)
OBJECTIVES To determine the association between mortality and the level of prehospital care in severely injured blunt trauma patients with or without severe head injury. METHOD Retrospective review of 2010 severe blunt trauma patients (injury severity score (ISS) >15) with or without severe head injury in a tiered trauma system involving ambulance(More)
BACKGROUND Advanced prehospital interventions for severe brain injury remains controversial. No previous randomised trial has been conducted to evaluate additional physician intervention compared with paramedic only care. METHODS Participants in this prospective, randomised controlled trial were adult patients with blunt trauma with either a scene GCS(More)