Computerised tomography of acute traumatic intracranial haematoma: reliability of neurosurgeons' interpretations.

Galbraith, S; Teasdale, Graham M.; Blaiklock, C. T.

doi:10.1136/bmj.2.6048.1371

Cited by 18 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It would thus appear that the diagnostic apparatus still leaves much to be desired in cerebrovascular disease. It is to be hoped that the advent of the brain scanner (see for example Galbraith, Teasdale and Blaiklock, 1976) may improve the situation. At present, however, neither clinicians nor pathologists appear to be aware of the extent of the problem.…”

Section: Discussionmentioning

confidence: 99%

Clinical and post‐mortem assessment of the cause of death

Hartveit

1977

The Journal of Pathology

View full text Add to dashboard Cite

Analysis of the clinical and post-mortem assessment of the underlying cause of death in 742 autopsies showed that over- and underdiagnosis cancelled each other out in the majority of the main diagnostic groups, so there was little difference in the total number of cases recorded in the different groups after clinical and post-mortem investigation. However, in the individual case the reliability of the clinical diagnosis varied greatly with the nature of the diagnosis and its degree of certainty. Reliability was for example high with clinically certain arteriosclerotic heart disease and low with cerebrovascular disease. Underdiagnosis of lung cancer is still a problem. Lack of interest in autopsy investigation may be reflection of lack of clinical involvement or therapeutic frustration rather than the use of sophisticated diagnostic procedures, as has been assumed by previous authors. It is suggested that the idea of selection of cases for autopsy should be replaced by selection of autopsies for microscopic investigation on the basis of the macroscopic post-mortem findings. It is suggested also that clinicians might profitably attend autopsies on patients in their sphere of interest that were not admitted under their care.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical and post‐mortem assessment of the cause of death

Hartveit

1977

The Journal of Pathology

View full text Add to dashboard Cite

show abstract

“…Decompensation occurs when a finite volume is reached. This is manifest as (1) a progressive increase in intracranial pressure; (2) local transcerebral pressure forces -with a resultant shift of midline structures.…”

Section: Discussionmentioning

confidence: 99%

“…Shift of midline structures, as assessed by plain skull X‐rays, echoencephalography or angiography, is an established sign used in predicting the presence of an extradural haematoma. The use of CT scanning allows a more definitive, non‐invasive diagnosis of EDH 2 , and visualisation of intracranial structures.…”

Section: Discussionmentioning

confidence: 99%

An assessment of midline shift as a prognostic parameter of neurological recovery following extradural haematoma

Jones

1988

Int J Clinical Practice

View full text Add to dashboard Cite

“…The value of CAT scanning in the recognition and localisation of intracranial haematoma is undeniable (Galbraith et al, 1977). How much scanning can help in the diagnosis and prognosis of other traumatic lesions has still to be defined.…”

Section: Discussionmentioning

confidence: 99%

“…The most obvious value of CAT scanning after recent head injury is to identify and localise acute intracranial haematomas, and this it does with a high degree of accuracy (Galbraith et al, 1977). But even in neurosurgical units which operate a selective admission policy, only a proportion of the patients referred have a haematoma, and the management of other patients who are in coma remains a difficult problem.…”

mentioning

confidence: 99%

Computerised tomography after recent severe head injury in patients without acute intracranial haematoma.

Snoek¹,

Jennett²,

Adams³

et al. 1979

Journal of Neurology, Neurosurgery & Psychiatry

View full text Add to dashboard Cite

SUMMARY Sixty patients with severe head injury who did not have an acute intracranial haematoma on CAT scanning are reviewed. The scans are correlated with the level of consciousness at the time of scanning and with the outcome six months after injury. The initial scan was interpreted as being normal in 38% of the cases. In the remainder the most common abnormalities were small ventricles and areas of mixed increased and decreased density interpreted as contusions. All the patients with small ventricles were under 20 years of age. Postmortem examinations were undertaken on 15 of the 19 fatal cases. There was evidence of a high intracranial pressure in 12, cerebral contusions were absent or minimal in 10, there was diffuse immediate impact damage to white matter in six, and there was moderate or severe hypoxic damage in four.The most obvious value of CAT scanning after recent head injury is to identify and localise acute intracranial haematomas, and this it does with a high degree of accuracy (Galbraith et al., 1977). But even in neurosurgical units which operate a selective admission policy, only a proportion of the patients referred have a haematoma, and the management of other patients who are in coma remains a difficult problem.We review here the CAT scans of 60 patients with a severe head injury who did not have an acute intracranial haematoma. Scans are correlated with the level of consciousness at the time of scanning, with the outcome six months after injury and, in those who died, with the neuropathological findings. Patients and methodsThe patients had all sustained non-missile injuries, over 80% being the result of road accidents. Males were five times more common than females, and 68% of the patients were younger than 20 years.

show abstract

Computerised tomography of acute traumatic intracranial haematoma: reliability of neurosurgeons' interpretations.

Cited by 18 publications

References 3 publications

Clinical and post‐mortem assessment of the cause of death

Clinical and post‐mortem assessment of the cause of death

An assessment of midline shift as a prognostic parameter of neurological recovery following extradural haematoma

Computerised tomography after recent severe head injury in patients without acute intracranial haematoma.

Contact Info

Product

Resources

About