Outcome from severe head injury related to the type of intracranial lesion

• DOI: 10.3171/jns.1983.59.5.0762
• Publication Date: 2009-05-08T16:18:54Z
• Authors: Ramiro D. Lobato; Francisco Cordobes; Juan J. Rivas; Marina de la Fuente; Angel Montero; Alejandro Barcena; Carlos Perez; Antonio Cabrera; Eduardo Lamas
• Keywords: Brain Contusion; Cerebral contusion; Brain swelling; Brain damage

✓ The influence of the type intracranial lesion on final outcome in a consecutive series 277 severely head-injured patients was analyzed. Patients were studied with computerized tomograpy (CT) and underwent continuous measurement pressure. They received identical treatment according to standardized protocol. Outcome either epidural hematoma (38 cases), subdural (56 brain contusion (87 or diffuse damage (96 cases) rather heterogeneous, serial CT scanning allowed authors outline eight consistent anatomical patterns whole which have stronger prognostic significance than four major categories mentioned above. pure extracerebral (19 single (45 general swelling (41 normal scans (28 had significantly better developing acute hemispheric after operation for large (27 multiple contusion, unilateral bilateral (74 axonal injury (43 cases). These are interesting because, addition having clinical physiopathological significance, they provide useful information facilitate improved therapeutic decision-making patients.