Early CT signs of progressive hemorrhagic injury following acute traumatic brain injury.

Neuroradiology
Wu-Song TongHui Yu

Abstract

Since progressive hemorrhagic injury (PHI) was introduced in neurosurgical literatures, several studies have been performed, the results of which have influenced doctors but do not define guidelines for the best treatment of PHI. PHI may be confirmed by a serial computerized tomography (CT) scan, and it has been shown to be associated with a fivefold increase in the risk of clinical worsening and is a significant cause of morbidity and mortality as well. So, early detection of PHI is practically important in a clinical situation. To analyze the early CT signs of progressive hemorrhagic injury following acute traumatic brain injury (TBI) and explore their clinical significances, PHI was confirmed by comparing the first and repeated CT scans. Data were analyzed and compared including times from injury to the first CT and signs of the early CT scan. Logistic regression analysis was used to show the risk factors related to PHI. A cohort of 630 TBI patients was evaluated, and there were 189 (30%) patients who suffered from PHI. For patients with their first CT scan obtained as early as 2 h post-injury, there were 116 (77.25%) cases who suffered from PHI. The differences between PHIs and non-PHIs were significant in the initial CT sc...Continue Reading

References

May 1, 1987·Archives of Surgery·S R ShackfordR W Virgilio
Apr 1, 1985·Journal of Neurosurgery·M R KlauberS A Bowers
Jan 17, 2002·Journal of Neurosurgery·Matthias OertelNeil A Martin
May 22, 2008·Journal of Neurotrauma·Raj K NarayanUNKNOWN Traumatic Intracerebral Hemorrhage Study Group
Aug 5, 2009·BMC Emergency Medicine·Pablo PerelFiona Lecky

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Citations

Jan 16, 2013·Emergency Medicine International·Hao ChenHeng-Li Tian
Oct 20, 2012·AJNR. American Journal of Neuroradiology·L Letourneau-GuillonR I Aviv
Jun 11, 2015·World Journal of Emergency Surgery : WJES·Timothy E SweeneyKristan L Staudenmayer
Jan 16, 2020·International Journal of Molecular Sciences·Ruchira M JhaJ Marc Simard
Nov 19, 2020·Journal of Neurotrauma·Ruchira M JhaPatrick M Kochanek

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