Radiological Parameters to Predict Hemorrhagic Progression of Traumatic Contusional Brain Injury

Rehman, Lal; Afzal, Ali R.; Aziz, Hafiza Fatima; Akbar, Sana Amir; Abbas, Asad; Rizvi, Raza

doi:10.4103/jnrp.jnrp_335_18

Cited by 20 publications

(34 citation statements)

References 27 publications

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“…According to our results, the most frequent head trauma lesion was in the frontal region. Previous literature shows similar results for traumatic extradural hematoma and traumatic brain injuries with a contusion [5, 6]. We found the mean Rotterdam scale score of our patients as 2.03, where this score showed significant differences among mild, moderate, and severe traumatic brain injuries.…”

Section: Discussion/conclusionsupporting

confidence: 81%

The Use of Rotterdam CT Score for Prediction of Outcomes in Pediatric Traumatic Brain Injury Patients Admitted to Emergency Service

et al. 2020

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Introduction: Rotterdam CT score for prediction of outcome in traumatic brain injury is widely used for patient evaluation. The data on the assessment of pediatric traumatic brain injury patients with the Rotterdam scale in our country are still limited. In this study, we aimed to evaluate the use of the Rotterdam scale on pediatric trauma patients in our country and assess its relationship with lesion type, location and severity, trauma type, and need for surgery. Methods: A total of 229 pediatric patients admitted to the emergency service due to head trauma were included in our study. Patients were evaluated in terms of age, gender, Glasgow Coma Scale (GCS), initial and follow-up Rotterdam scale scores, length of stay, presence of other traumas, seizures, antiepileptic drug use, need for surgical necessity, and final outcome. Results: A total of 229 patients were included in the study, and the mean age of the patients was 95.8 months. Of the patients, 87 (38%) were girls and 142 (62%) were boys. Regarding GCS at the time of admission, 59% (n = 135) of the patients had mild (GCS = 13–15), 30.6% (n = 70) had moderate (GCS = 9–12), and 10.5% (n = 24) had severe (GCS < 9) head trauma. The mean Rotterdam scale score was calculated as 1.51 (ranging from 1 to 3) for mild, 2.22 (ranging from 1 to 4) for moderate, and 4.33 (ranging from 2 to 6) for severe head trauma patients. Rotterdam scale score increases significantly as the degree of head injury increases (p < 0.001). Discussion: With the adequate use of GCS and cerebral computed tomography imaging, pediatric patients with a higher risk of mortality and need for surgery can be predicted. We recommend the follow-up of pediatric traumatic brain injury patients with repeated CT scans to observe alterations in Rotterdam CT scores, which may be predictive for the need for surgery and intensive care.

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Section: Discussion/conclusionsupporting

confidence: 81%

The Use of Rotterdam CT Score for Prediction of Outcomes in Pediatric Traumatic Brain Injury Patients Admitted to Emergency Service

et al. 2020

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“…A reported 16-75% of contusions show progression in subsequent imaging [2,[6][7][8][9][11][12][13][14][15][16][17][18][19][20][21][22][23]. This disparity in reported percentages is, in part, due to a lack of standardized definition of contusion progression across the literature.…”

Section: Introductionmentioning

confidence: 99%

Contusion Progression Following Traumatic Brain Injury: A Review of Clinical and Radiological Predictors, and Influence on Outcome

2020

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Secondary injuries remain an important cause of the morbidity and mortality associated with traumatic brain injury (TBI). Progression of cerebral contusions occurs in up to 75% of patients with TBI, and this contributes to subsequent clinical deterioration and requirement for surgical intervention. Despite this, the role of early clinical and radiological factors in predicting contusion progression remains relatively poorly defined due to studies investigating progression of all types of hemorrhagic injuries as a combined cohort. In this review, we summarize data from recent studies on factors which predict contusion progression, and the effect of contusion progression on clinical outcomes.

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“…In economically developing countries, most of the traumatic brain injury (TBI) is caused by motor vehicles and continues to be the fearful dream of today's technology age because it cause not only of disability and loss of life but also of financial losses (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

Determination of Prognostic Factors in Cerebral Contusions

Keser¹,

Döşoğlu²

2019

BMB

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Objective: Cerebral contusion (CC) is vital because it is one of the most common traumatic brain injury (TBI) types and can lead to lifelong physical, cognitive, and psychological disorders. As with all other types of craniocerebral trauma, the correlation of prognosis with specific criteria in CC can provide more effective treatment methods with objective approaches. Method:The results of 105 patients who were hospitalized in the emergency clinic with the diagnosis of CC and whose lesion did not require surgical intervention were evaluated. The demographic variables, Glasgow coma scale (GCS) score, radiographic findings, coexisting traumas and, type, number, and the midline shift of the contusions detected in computerized tomography (CT) were evaluated as a guide in determining the prognosis in one month. Results:Twenty-five patients were female, and 80 were male, and the mean age was 37 years. The traffic accident was the most common cause of head injury. It was seen that while advancing age had a significant effect on mortality, sex factor had no impact on prognosis. Motor posture in GCS score, pupil light reactions, the number of contusions, and presence of accompanying subdural hemorrhage (SDH) on cranial CT were found to be substantial prognostic indicators. The presence of a cranial fracture and the degree of midline shift did not affect prognosis.Conclusion: Advanced age, low GCS score, abnormal motor response, abnormal pupil light reaction, presence of other system traumas, multiple contusions, and accompanying SDH affected the prognosis of the cases adversely.Amaç: Kontüzyo serebri, en sık karşılaşılan travmatik beyin yaralanması olması ve ömür boyu süren fiziksel, bilişsel ve psikolojik bozukluklara yol açabilmesi nedeniyle önem taşımaktadır. Diğer tüm kraniyoserebral travma tiplerinde olduğu gibi kontüzyon serebride de prognozun belli kriterlere bağlanması objektif yaklaşımlarla vakit geçirmeden daha efektif tedavi yöntemlerinin belirlenmesini sağlayabilir.Yöntem: Acil poliklinikte kontüzyon serebri saptanılarak yatırılan, lezyonu cerrahi müdahale gerektirmeyen 105 olgu araştırıldı. Demografik değişkenler, Glasgow koma skalası (GKS) skoru, radyografik bulgular, eşlik eden travmalar, kraniyal bilgisayarlı tomografide (BT) saptanılan kontüzyonların tipi, sayısı, ile oluşturduğu orta hat şiftine göre sonuçları bir aylık dönemde prognoz tayininde yol gösterici olarak değerlendirildi. Bulgular: Çalışmadaki olguların 25'i kadın, 80'i erkek olup ortalama yaş 37 idi. Trafik kazalarının kontüzyon serebri oluşumunda ilk sırayı aldığı dikkati çekti. İlerleyen yaşın mortalite üzerinde belirgin etkisi olduğu, cins faktörünün ise prognoza etkisinin olmadığı görüldü. GKS skorunda yer alan motor postür, pupil ışık reaksiyonu, kraniyal BT'deki kontüzyonun sayısı ve eşlik eden subdural hematom (SDH) prognostik açıdan yol gösterici idi. Kranial fraktürün ve orta hat şiftinin prognoza etkisinin olmadığı görüldü.Sonuç: İleri yaş, düşük GKS skoru, anormal motor cevap, anormal pupil ışık reaksiyonu, birlikte diğer sistem tr...

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Radiological Parameters to Predict Hemorrhagic Progression of Traumatic Contusional Brain Injury

Cited by 20 publications

References 27 publications

The Use of Rotterdam CT Score for Prediction of Outcomes in Pediatric Traumatic Brain Injury Patients Admitted to Emergency Service

The Use of Rotterdam CT Score for Prediction of Outcomes in Pediatric Traumatic Brain Injury Patients Admitted to Emergency Service

Contusion Progression Following Traumatic Brain Injury: A Review of Clinical and Radiological Predictors, and Influence on Outcome

Determination of Prognostic Factors in Cerebral Contusions

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