CT CORRELATION WITH SEVERITY AND OUTCOME IN TRAUMATIC HEAD INJURY PATIENTS IN SAKONNAKHON HOSPITAL, THAILAND.

Authors

  • Sudaphan PRAMUALCHAROENKIYJ Department of radiology, Sakonnakhon hospital, Sakonnakhon, 47000, Thailand.

Abstract

OBJECTIVE: To evaluate which features on the admission CT scan might add significantly to the neurologic status for predicting the outcome in patients with head injury.

MATERIALS AND METHODS: 95 CT scans of patients with all grades of traumatic head injuries were retrospectively reviewed for roentgen findings on admission. Details from the CT scan on hemorrhage (type, number and size) and midline shift were correlated with neurologic status (assessed with Glasgow Coma Scale [GCS]) and patient outcome at discharge time (assessed with the Glasgow Outcome Scale [GOS]).

RESULTS: GCS score was significantly lower in patients with subarachnoid hemorrhage, subdural, intracerebral hemorrhage, midline shift and associated primary brain injury. GCS changed as a function of hematoma size (P<.001) in the patient with focal hemorrhage. The presence of subarachnoid hemorrhage, subdural, intracerebral hematoma and midline shift were also significantly associated with poor outcome. Patients with normal CT scan were significantly more likely to have no or mild neurologic dysfunction and good outcome than those with intracranial hemorrhage (P<.001 ).

CONCLUSION: CT findings, including type and number of intracranial hemorrhage, location, bleeding size, associated brain injury and midline shift have been the essential factors to predict the clinical outcome.

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References

Wardlaw JM, Easton VJ, Statham P, et al. Which CT features help predict outcome after head injury?. J Neurol. Neurosurg. Psychiatry 2002; 72: 188-192

Signorini DF, Andrews FJD, Jones PA, et al. Predicting survival using simple clinical variables: a case study in traumatic brain injury. J Neurology Neurosurg Psychiatry 1999; 66:20-5.

Meagher RJ, Young WF. Subdural hematoma: http://www.emedicine.com/Neuro/topic 575.htm 2006 Nov.

Servadei F, Nasi MT, Giuliani G, et al. CT prognostic factors in acute subdural hematomas: the value of the ‘worst’ CT scan. Br J Neurosurg 2000; 14(2): 110-6

Kotwica Z, Brzezinski J. Acute subdural haematoma in adults: an analysis of outcome in comatose patients. Acta Neurochi (Wien) 1993; 121(3-4): 95-9

Tokutomi T. Traumatic SAH on the computerized tomography scan in patients with severe traumatic brain injury; a report from the Japan Neurotrauma Data Bank. Neurotraumatology 2004; 27(2): 161-4

Yoshihiro T, Takuya K, Yoshihiro N, et al. CT for acute stage of closed head injury. Radiation Medicine 2005; 23(5): 309-16

Hack Gun Bae. Traumatic intracerebral hematoma. Journal of Korean Neurosurgical Soceity 1989; 18(4): 571-9

Price DD, Wilson SR. Epidural Hematoma: http://www.emedicine.com/emerg/topic167.html 2008 Jan.

Bricolo AP, Pasut LM. Extradural hematoma: toward zero mortality. A prospective study. J Neurosurg 1984;14(1):8-12

Kido DK, Cox C, Hamill RW, et al. Traumatic brain injuries: predictive usefulness of CT. Radiology 1992; 182: 777-81

Haydel MJ, Preston CA, Mill T, et al. Indications for computed tomography in patients with minor head injury. N Engl J Med 2000; 343: 100-05

Jeret JJ, Mandell M, Anziska B, et al. Clinical predictors of abnormality disclosed by computed tomography after mild head trauma. Neurosurgery 1993; 32: 9-15

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Published

2023-04-26

How to Cite

1.
PRAMUALCHAROENKIYJ S. CT CORRELATION WITH SEVERITY AND OUTCOME IN TRAUMATIC HEAD INJURY PATIENTS IN SAKONNAKHON HOSPITAL, THAILAND. ASEAN J Radiol [Internet]. 2023 Apr. 26 [cited 2024 Mar. 28];14(1):35-42. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/815

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