|
KMID : 1143720090050020062
|
|
Korean Journal of Neurotrauma
2009 Volume.5 No. 2 p.62 ~ p.67
|
|
|
Progression of Intracranial Hemorrhage after Acute Head Injury
|
|
Seong Hyun-Seok
Rim Byeong-Cheol
Min Kyung-Soo
Lee Mou-Seop
Kim Young-Gyu
Kim Dong-Ho
|
|
|
Abstract
|
|
|
Objective:The purpose of this study was to evaluate the risk factors for the development of progressive intracranial hemorrhage (PIH) after acute head injury.
Methods:175 (one hundred and seventy-five) head trauma patients who visited our hospital and had computerized tomography (CT) scan from January 2005 to December 2006 were investigated. Their medical records, radiological images and readings were analyzed retrospectively.
Results: Of the total 175 patients, 64 (64/175=36.6%) presented PIH. PIH was found in 54 patients (48.6%) of the 111 patient who obtained CT scans within 3 hours after trauma, whereas it was found in 10 (15.7%) of 64 patients who obtained CT more than 3 hours after head trauma. In 64 patients having PIH, the mean time interval between first and second CT scans was 13.8 hours. The risk factors for the development of PIH were cause of trauma, hemorrhagic lesion type, initial Glasow Coma Scale, first CT scan time after trauma.
Conclusion: If initial CT scan taken early after trauma shows hemorrhage, continuous supervision of mental status and changes in intracranial pressure, and early follow-up CT scan within 5 to 6 hours is necessary. In addition, because progression of hemorrhage may continue in a patient with hyperacute intracranial hemorrhage who are preparing for surgery, it is recommended to have a CT scan again right before the operation.
|
|
|
KEYWORD
|
|
|
Progressive intracranial hemorrhage, Head trauma, Computed tomography
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|
|