Intraventricular Hemorrhage on Initial Computed Tomography as Marker of Diffuse Axonal Injury after Traumatic Brain Injury

• DOI: 10.1089/neu.2014.3453
• Publication Date: 2014-07-15T16:13:48Z
• Authors: Daddy Mata-Mbemba; Shunji Mugikura; Atsuhiro Nakagawa; Takaki Murata; Yumiko Kato; Yasuko Tatewaki; Li Li; Kei Takase; Kiyoshi Ishii; Shigeki Kushimoto; Teiji Tominaga; Shoki Takahashi
• Keywords: Diffuse axonal injury

Intraventricular hemorrhage (IVH) on initial computed tomography (CT) was reported to predict lesions of diffuse axonal injury (DAI) in the corpus callosum (CC) subsequent magnetic resonance imaging (MRI). We aimed examine relationship between CT findings and DAI detected MRI as well severity IVH (IVH score) (DAI staging). A consecutive 140 patients with traumatic brain (TBI) who underwent within 30 days after onset were revisited. reviewed their for following six findings: Status basal cistern, status mid-line shift, epidural hematoma, IVH, subarachnoid hemorrhage, volume hemorrhagic mass score assigned each patient. Based findings, divided into non-DAI groups a staging. Then, confirm that predicts MRI, we used multi-variate analysis including examined The only predictor (p=0.0139). staging showed significant positive correlation (p<0.0003). stage 3 (with involving stem; p=0.0025) or 2 CC; p=0.0042) significantly higher than 0 (no lesions). In conclusion, is marker specifically severe (stage 3).