Traumatic intracerebral haemorrhage: is the CT pattern related to outcome?

British Journal of Neurosurgery
G K WongW S Poon

Abstract

It is believed by many neurosurgeons that in addition to age and neurological status, the CT patterns of traumatic intracerebral haemorrhages are related to outcome. The aim of this study was to find out whether this is the case. The study was conducted in a regional level I trauma centre in Hong Kong. We prospectively collected data of patients with traumatic intracerebral haematomas over a 4-year period. Of 464 patients with head injuries, traumatic intracerebral haematoma was significantly associated with inpatient mortality and one year unfavorable outcome after adjustment for age, sex, post-resuscitation GCS, and presence of acute subdural haematoma. One hundred-and-fourteen patients had traumatic intracerebral haematomas and were included for further analysis. The mean age was 49, the male to female ratio was 2 to 1, and the median Glasgow Coma Scale (GCS) score on admission was 12. Logistic regression analysis showed that age and GCS score/GCS motor component score were significant factors for inpatient mortality, one-year mortality and one-year outcome. There was an association between temporal haematomas and inpatient mortality, subdural haematomas and inpatient mortality, and bilateral haematomas and unfavourable one-...Continue Reading

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Jul 13, 1974·Lancet·G Teasdale, B Jennett
Dec 17, 2005·BMJ : British Medical Journal·Simon Fleminger, Jennie Ponsford
Mar 23, 2007·Journal of Neurotrauma·Nino A MushkudianiAndrew I R Maas
Feb 14, 2008·BMJ : British Medical Journal·UNKNOWN MRC CRASH Trial CollaboratorsSurakrant Yutthakasemsunt

❮ Previous
Next ❯

Citations

Sep 3, 2011·Journal of Emergencies, Trauma, and Shock·George K C WongWai S Poon
Jan 1, 2012·Current Translational Geriatrics and Experimental Gerontology Reports·Calvin H K MakWai Sang Poon
Jan 19, 2012·World Neurosurgery·Richard FrancisA David Mendelow
May 3, 2011·The British Journal of Oral & Maxillofacial Surgery·Kevin King-Tin Tsang, Peter C Whitfield
Jun 4, 2019·Neurología : publicación oficial de la Sociedad Española de Neurología·J GinerJ Roda Frade

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.