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- Title
CT Follow-Up and Clinical Outcome in Severe Traumatic Injury Patients.
- Authors
Belina, Stanko; Kovačić, Sanja
- Abstract
Determining a patient's prognosis after severe traumatic brain injury remains difficult and complex. The purpose of the present study was following up patients with severe traumatic brain injury by correlating their clinical outcome and sequential computer tomography (CT) findings. We investigated 51 patients who survived the first year following an accident. All patients underwent successive CT examinations within a maximum period of 2 years. The patients' outcomes depended on the underlying brain damage and are presented by the Glasgow Outcome Scale. Based on the investigated data we concluded that the worst outcomes were experienced by patients with initial massive cerebral edema, extensive subdural hematoma and intraventricular hemorrhage, followed by stroke as subacute CT finding and cerebral atrophy as chronic finding visible at follow-up CT scans. The majority of lesions identified by CT scan were found in the frontal lobes, basal ganglia, and temporal lobes. We suggest that CT examination still represents a simple and useful tool in attempting to predict the clinical outcome in patients with severe traumatic brain injury.
- Subjects
BRAIN injuries; TOMOGRAPHY; HEALTH outcome assessment; FOLLOW-up studies (Medicine); CEREBRAL edema; BASAL ganglia
- Publication
Collegium Antropologicum, 2011, Vol 35, Issue 4, p1197
- ISSN
0350-6134
- Publication type
Article