Evolution of traumatic intracerebral hemorrhage captured with CT imaging: report of a case and the role of serial CT scans

Khan, Sofia; Khan, Nasir; Masood, Sameer; Rana, Abdul Qayyum

doi:10.1007/s10140-010-0891-x

Cited by 6 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The phenomenon of ultra early CT missing a significant surgical lesion in the head-injured patient has provoked the debate as to whether serial repeat CT should be adopted and if such a practice is cost effective. [3122526] In this environment, delayed CT is unfortunately the rule rather than an exception and the ultra early CT is rarely done. Follow-up CT is very useful whenever it is indicated, especially in monitoring postoperative patients or those who have not achieved the expected clinical improvement on non-operative management.…”

Section: Discussionmentioning

confidence: 99%

Cranial computed tomography scan findings in head trauma patients in Enugu, Nigeria

Ohaegbulam¹,

Mezue²,

Ndubuisi³

et al. 2011

Surg Neurol Int

View full text Add to dashboard Cite

Background:The choice of radiological investigations in head trauma in Africa is influenced by factors such as cost. Some patients who require computed tomography (CT) scan elsewhere are either managed blindly or do not present for it at the appropriate time. This paper evaluates the CT scan findings as they are obtained in cases of head trauma in a region of Nigeria.Methods:Prospectively recorded data of all head injury patients who presented for CT scan between January 2009 and April 2010 at Memfys Hospital for Neurosurgery (MHN), Enugu, Nigeria, were analyzed. Mobile CereTom 8-Slice CT was used in all cases. New and follow-up cases were included.Results:There were 204 CT scans for head trauma (171 new, 33 follow-up), accounting for about 34% of all head CT scans performed with this unit. The male to female ratio was 3.5:1. About 33.9% of the patients were in the third and fourth decades of life. In 19.9% cases, CT was unremarkable, while 80.1% cases had abnormal CT findings. The CT diagnosis was not in keeping with the indication of head trauma in 7%, and 13% had more than one finding. The most common CT findings were: subdural hematoma 30%, cerebral contusions and edema 30.7%, skull fractures 23.4% and extradural hematoma 8.0%. About 64% of the CT findings required surgical interventions. The overall mortality was 11.1%, but amongst the 137 patients who had abnormal CT findings, it was 13.9%.Conclusion:The high yield and diversity of CT scan findings in head trauma patients support the indication for the appropriate use of CT in diagnosis and management of head trauma even in developing countries.

show abstract

Section: Discussionmentioning

confidence: 99%

Cranial computed tomography scan findings in head trauma patients in Enugu, Nigeria

Ohaegbulam¹,

Mezue²,

Ndubuisi³

et al. 2011

Surg Neurol Int

View full text Add to dashboard Cite

show abstract

“…CT scans are a useful tool which can show a stepwise deterioration of TBI which can be tracked to help in not only diagnosing the extent of injuries but also a patient's prognosis. 5 Due to the serious consequences of alcohol and its potential for fatal head related injuries, it is important to increase the awareness of this subject among the greater population.…”

Section: Discussionmentioning

confidence: 99%

Alcohol related fatal brain injury causing multiple types of hemorrhagic lesions

Rana¹,

Khan²,

Haq³

2012

JPRLS

View full text Add to dashboard Cite

Traumatic brain injury may be a significant consequence of head trauma, leading to potentially serious disability or death. Although the elderly are especially prone to head trauma due to falls, head injuries and falls related to alcohol use are also quite common and can be seen in younger and middle aged populations. Traumatic brain injury can cause multiple types of cerebral hemorrhagic lesions, which can occur simultaneously.These hemorrhagic lesions can progressively enlarge and cause further neurological deterioration, brainstem herniation, and death. This report highlights a young male with severe brain injury due to considerable alcohol consumption at a party who ultimately died from his injuries. This case report emphasizes the importance of recognizing and raising awareness of the significant role alcohol can play in head related injuries.

show abstract

“…In patients with TBI, repeated CT scanning has found that intracranial bleeds can develop or expand in the 24 hours after injury and that larger bleeds have a worse prognosis. Delayed enlargement of traumatic intraparenchymal contusions and hematomas is the most common cause of clinical deterioration and death in patients who had a lucid interval after TBI (4) .…”

Section: Introductionmentioning

confidence: 99%

Effect of Tranexamic Acid in Patients with Traumatic Brain Injury

Fathey

Ghoneim

Afify

et al. 2021

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: Traumatic brain injury (TBI) is a leading cause of death and disability. Intracranial hemorrhage secondary to TBI is associated with a high risk of coagulopathy and progress of intracranial hemorrhage (ICH). The hemostatic drug tranexamic acid (TXA) with anti-fibrinolytic activity is usually used in patients with trauma to reduce hematoma size. It has been considered a possible therapy to improve the clinical outcome in patients with TBI. Objective: To evaluate the effect of tranexamic acid on the volume of intracranial bleeding in patients with TBI admitted to Critical Care Unit at Menoufia University Hospital. Patients and methods: A prospective randomized placebo-controlled double blinded study in the Critical Care Unit, Menoufia University hospitals, through one year from January 2020 to January 2021. The study was carried out on 40 patients with TBI with Glasgow Coma Scale (GCS) of 4 to 12. They had a computerized tomography (CT) brain scan within 8 hours of injury and in whom there was no indication for immediate surgical intervention. We randomly assigned (1:1) patients to receive tranexamic acid (loading dose 1 g over 10 min then infusion of 1 g over 8 hours) or matching placebo. Results: There was statistically significant reduction in the volume of ICH after 48 hours (p = 0.021) in TXA group than in placebo group. While in placebo group, there was high statistically significant increase in volume of ICH after 48 hours compared to on admission. Moreover, TXA reduced the need of blood transfusion, surgical intervention and the incidence of complications with no evidence of increased risk of thromboembolic events. Conclusion: TXA may reduce the volume of ICH in patients with TBI with no evidence of increased risk of thromboembolic events.

show abstract

Evolution of traumatic intracerebral hemorrhage captured with CT imaging: report of a case and the role of serial CT scans

Cited by 6 publications

References 8 publications

Cranial computed tomography scan findings in head trauma patients in Enugu, Nigeria

Cranial computed tomography scan findings in head trauma patients in Enugu, Nigeria

Alcohol related fatal brain injury causing multiple types of hemorrhagic lesions

Effect of Tranexamic Acid in Patients with Traumatic Brain Injury

Contact Info

Product

Resources

About