Prognosis in traumatic intraventricular haemorrhage

Jayakumar, P. N.; Kolluri, V. R. Sastry; Basavakumar, D. G.; Arya, B. Y. T.; Das, B. S.

doi:10.1007/bf01809332

Cited by 12 publications

(10 citation statements)

References 13 publications

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“…The clinical characteristics of this subgroup of head injured patients are similar to that of patients with diffuse axonal injury, traumatic deep ganglionic haematoma and traumatic intraventricular haemorrhage 1, 4, 5,6. This similarity could be due to the common mechanism of cerebral trauma-the latter three are caused by acceleration forces 3.…”

Section: Discussionmentioning

confidence: 71%

Prognosis in contre-coup intracranial haematomas ? a clinical and radiological study of 63 patients

et al. 1991

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Section: Discussionmentioning

confidence: 71%

Prognosis in contre-coup intracranial haematomas ? a clinical and radiological study of 63 patients

et al. 1991

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“…Evidence has shown that IVH as an isolated initial CT finding is extremely rare; it is almost always associated with subarachnoid hemorrhage (SAH), 8,11,18 which is the most common posttraumatic intracranial lesion and seen in 33%-60% of patients. 10 Furthermore, many studies have suggested an association between the presence of traumatic SAH (tSAH) on initial CT and poor clinical outcome.…”

mentioning

confidence: 99%

Traumatic midline subarachnoid hemorrhage on initial computed tomography as a marker of severe diffuse axonal injury

Mata‐Mbemba

Mugikura

Nakagawa³

et al. 2018

Journal of Neurosurgery

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OBJECTIVE The objective of this study was to test the hypothesis that midline (interhemispheric or perimesencephalic) traumatic subarachnoid hemorrhage (tSAH) on initial CT may implicate the same shearing mechanism that underlies severe diffuse axonal injury (DAI). METHODS The authors enrolled 270 consecutive patients (mean age [± SD] 43 ± 23.3 years) with a history of head trauma who had undergone initial CT within 24 hours and brain MRI within 30 days. Six initial CT findings, including intraventricular hemorrhage (IVH) and tSAH, were used as candidate predictors of DAI. The presence of tSAH was determined at the cerebral convexities, sylvian fissures, sylvian vallecula, cerebellar folia, interhemispheric fissure, and perimesencephalic cisterns. Following MRI, patients were divided into negative and positive DAI groups, and were assigned to a DAI stage: 1) stage 0, negative DAI; 2) stage 1, DAI in lobar white matter or cerebellum; 3) stage 2, DAI involving the corpus callosum; and 4) stage 3, DAI involving the brainstem. Glasgow Outcome Scale-Extended (GOSE) scores were obtained in 232 patients. RESULTS Of 270 patients, 77 (28.5%) had DAI; tSAH and IVH were independently associated with DAI (p < 0.05). Of tSAH locations, midline tSAH was independently associated with both overall DAI and DAI stage 2 or 3 (severe DAI; p < 0.05). The midline tSAH on initial CT had sensitivity of 60.8%, specificity of 81.7%, and positive and negative predictive values of 43.7% and 89.9%, respectively, for severe DAI. When adjusted for admission Glasgow Coma Score, the midline tSAH independently predicted poor GOSE score at both hospital discharge and after 6 months. CONCLUSIONS Midline tSAH could implicate the same shearing mechanism that underlies severe DAI, for which midline tSAH on initial CT is a probable surrogate.

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“…24 Although far less commonly associated with TBI, intraventricular haemorrhages carry a mortality of around 60%. 25 This is best evaluated with NCCTs (Figure 3(c)) as CSF pulsation artefacts may be misinterpreted as intraventricular haemorrhage on conventional MRI sequences. 23 Approximately half of these patients developed raised intracranial pressure (ICP) due to communicating hydrocephalus.…”

Section: Subarachnoid Haematoma (Sah)mentioning

confidence: 99%

Role of neuroimaging in management of traumatic brain injury

Chew

Leyon

Sawlani

et al. 2014

Trauma

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Traumatic brain injury is a significant cause of morbidity and mortality in the UK with substantial associated economic costs to the healthcare system. This article explores the role of neuroimaging in both acute and long-term management of traumatic brain injury patients. We discuss the indications for urgent cross-section imaging as well as radiological features of both primary insults and secondary injuries. The role of neuroimaging in guiding surgical therapy and monitoring post-operative traumatic brain injury patients has also been described. Following initial injury, traumatic brain injury patients can suffer from a wide variety of physical, social and psychological difficulties. New techniques such as diffusion tensor imaging in combination with conventional magnetic resonance imaging sequences may provide useful information in predicting long-term prognosis and guiding rehabilitation.

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Prognosis in traumatic intraventricular haemorrhage

Cited by 12 publications

References 13 publications

Prognosis in contre-coup intracranial haematomas ? a clinical and radiological study of 63 patients

Prognosis in contre-coup intracranial haematomas ? a clinical and radiological study of 63 patients

Traumatic midline subarachnoid hemorrhage on initial computed tomography as a marker of severe diffuse axonal injury

Role of neuroimaging in management of traumatic brain injury

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