著者

福田 修 小山 新弥 黒田 敏

出版者

一般社団法人 日本脳神経外傷学会

雑誌

神経外傷 (ISSN:24343900)

巻号頁・発行日

vol.38, no.1, pp.9-13, 2015-09-10 (Released:2020-04-27)

参考文献数

13

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Severe head injuries with organic lesions in skiing were characterized. We reviewed the patients, backgrounds, the situations of 30 head traumas (6.0%) with organic lesions, out of 504 skiing-related head injuries from 2004/05 to 2012/13 winter seasons in Niigata, Japan. The patient ages were from 8 to 75 (average 37.0 ± 19.0). They were 27 men and 3 women. 30 lesions consisted of 16 cranio-facial fractures, 7 acute subdural hematomas, 3 subarachnoid hemorrhages, 2 brain contusions, an epidural hematoma and a chronic subdural hematoma.The predominant feature of ski-related severe head injuries in this period is that expert or intermediate skier hit forehead by fall or jump or collision at a gentle slope. Craniotomies were performed in 2 subdural hematomas and the outcome was GR in 59-year-old woman and was MD in 75-year-old man, respectively.In comparison with the past nine seasons (1994/95-2003/04) study in this area, the characteristics in this period is that the number of patients, the number of severe head injuries, the number of operation were decreased. The average age of the patients increased. The predominant feature of ski-related severe head injury in the past period is that intermediate skier hit a forehead by collision at a middle slope. There were differences in the pattern, situation and mechanism between those two periods. Greater awareness may be needed to ensure safety, especially helmet use and manner observance.