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- Title
A system of radiological criteria for grading and prognosticating temporal lobe contusions.
- Authors
Nigam, Pulak; Krishnan, Shyam S; Pande, Anil; Vasudevan, MC
- Abstract
Introduction: Temporal contusions are common in patients with head injuries and require close monitoring due to the propensity of these patients to deteriorate rapidly and fatally. This study attempts to introduce a radiological grading system for temporal lobe contusions and analyse its prognostic value so as to better identify patients at risk of deterioration. Methods: The study was conducted as a cross-sectional observational study from April 2011–March 2017 on 42 patients with temporal lobe contusion. Each patients was graded according to the proposed system from a minimum of four to a maximum of 13 and then further grouped in three grades – grade 1 (score = 4), grade 2 (score 5–7) and grade 3 (score > 7) – and their clinical course was closely observed. Results: The minimum and maximum scores observed were four and 11 respectively. The proposed grading system has statistically significant correlation to the Glasgow Coma Scale (p -value < 0.05). All patients in grade 1 (17) could be managed conservatively, while all those in grade 3 (five) needed immediate surgical intervention. Of 20 patients in grade 2, 11 had a score of 5–6 and did not require surgery, whereas nine patients had a score of seven and of these eight required delayed surgical intervention. This correlation was statistically significant (p -value < 0.05) Conclusion: The proposed temporal lobe contusion grading system is a good radiological tool to predict the clinical course of patients and thereby identify patients at higher risk of delayed deterioration.
- Subjects
TEMPORAL lobe injuries; BRAIN injuries; DIAGNOSIS; MEDICAL errors; SCIENTIFIC observation; CROSS-sectional method; DESCRIPTIVE statistics; GLASGOW Coma Scale
- Publication
Neuroradiology Journal, 2020, Vol 33, Issue 2, p179
- ISSN
1971-4009
- Publication type
Article
- DOI
10.1177/1971400919893114