CT scanning and surgical treatment of 1551 head injured patients admitted to a regional neurosurgical unit

Follow-up computerized tomography (CT) scans in moderate and severe head injuries: Correlation with Glasgow coma scores (GCS), and complication rate

“…The most common delayed lesions described previously were intracerebral hemorrhage, contusion, and infarct [5,7,12]. Very seldomly is surgical intervention needed for such deIayed lesions [12]. In this series of patients, we found increased edema/mass effect to be the most common lesion in patients with improved or the same GCS, yet worse-appearing radiographic images.…”

“…We found radiographic worsening in 28.7% of our initial follow-up scans. The most common delayed lesions described previously were intracerebral hemorrhage, contusion, and infarct [5,7,12]. Very seldomly is surgical intervention needed for such deIayed lesions [12].…”

“…Incidence of delayed contusions and new lesions has been reported to be between 1% and 52% [5,6,9,12]. Delayed cerebral lesions have been found to correlate with the severity of injury, coagulopathy, and eventual outcome [21,22].…”

The Role of Early Follow-Up Computed Tomography Imaging in the Management of Traumatic Brain Injury Patients With Intracranial Hemorrhage

“…The value of CT scanning in patients with even minor head injury is well established, and its use has become a standard part of the initial evaluation for most patients with head trauma. [1][2][3][4][5][6][7][8][9][10][11] Although the use of CT imaging for the initial evaluation of head injury has been firmly established, the indications for follow-up imaging are not well defined. Studies based on routine follow-up CT imaging have shown that approximately 20% to 50% of patients with traumatic intracranial hemorrhage will develop progressive hemorrhagic injury (PHI).…”

Kernspintomographische Verlaufskontrolle bei Kindern nach Schädel-Hirn-Trauma

“…Literatur der subjektiven Einschätzung des Untersuchers erfolgt [16]. Computertomographisch können nur sehr große oder hämorrhagische DAV, wie sie sich nur bei 20% der Patienten darstellen, nachgewiesen werden [5].…”