Utility of Repeat Head CT in Patients with Blunt Traumatic Brain Injury Presenting with Small Isolated Falcine or Tentorial Subdural Hematomas

AJNR. American Journal of Neuroradiology
K K DevulapalliM C Huang

Abstract

In blunt traumatic brain injury with isolated falcotentorial subdural hematoma not amenable to neurosurgical intervention, the routinely performed, nonvalidated practice of serial head CT scans frequently necessitates increased hospital resources and exposure to ionizing radiation. The study goal was to evaluate clinical and imaging features of isolated falcotentorial subdural hematoma at presentation and short-term follow-up. We performed a retrospective analysis of patients presenting to a level 1 trauma center from January 2013 to March 2015 undergoing initial and short-term follow-up CT with initial findings positive for isolated subdural hematoma along the falx and/or tentorium. Patients with penetrating trauma, other sites of intracranial hemorrhage, or depressed skull fractures were excluded. Patient sex, age, Glasgow Coma Scale score, and anticoagulation history were obtained through review of the electronic medical records. Eighty patients met the inclusion criteria (53 males; 27 females; median age, 61 years). Of subdural hematomas, 57.1% were falcine, 33.8% were tentorial, and 9.1% were mixed. The mean initial Glasgow Coma Scale score was 14.2 (range, 6-15). Isolated falcotentorial subdural hematomas were small (mean...Continue Reading

References

Jan 1, 1991·Acta neurochirurgica·R VazC Cruz
May 23, 2006·Neurosurgery·M Ross BullockUNKNOWN Surgical Management of Traumatic Brain Injury Author Group
Jun 6, 2012·Turkish Neurosurgery·Satoru TakeuchiHiroshi Nawashiro
May 17, 2014·Turkish Neurosurgery·Yuhai WangAndrew Maas
Nov 5, 2014·Neurologia Medico-chirurgica·Hiroshi KaribeTeiji Tominaga
Nov 27, 2014·AJNR. American Journal of Neuroradiology·M WintermarkUNKNOWN American College of Radiology Head Injury Institute
May 9, 2015·Journal of Neurosurgery·Paul BajsarowiczJudith Marcoux
Aug 19, 2015·The Journal of Emergency Medicine·Rochelle T SweisKatharina M Busl

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Brain Injury & Trauma

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