KMID : 1140920230470030214
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Annals of Rehabilitation Medicine 2023 Volume.47 No. 3 p.214 ~ p.221
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Delirium After Traumatic Brain Injury: Prediction by Location and Size of Brain Lesion
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Han Soo-Jeong
Suh Jee-Hyun Lee Ja-Young Kim Soo-Jin
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Abstract
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Objective : To examine (1) the location of brain lesion that would predict post-traumatic delirium and (2) the association between volume of brain lesion and occurrence of delirium in patients with traumatic brain injury (TBI).
Methods : A retrospective study was conducted by reviewing medical records of 68 TBI patients, categorized into two groups: the delirious group (n=38) and non-delirious group (n=30). The location and volume of TBI were investigated with the 3D Slicer software.
Results : The TBI region in the delirious group mainly involved the frontal or temporal lobe (p=0.038). All 36 delirious patients had brain injury on the right side (p=0.046). The volume of hemorrhage in the delirious group was larger by about 95 mL compared to the non-delirious group, but this difference was not statistically significant (p=0.382).
Conclusion : Patients with delirium after TBI had significantly different injury site and side, but not lesion size compared to patients without delirium.
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KEYWORD
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Traumatic brain injury, Delirium, Intracranial hemorrhages
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