| Relationship between maximum intracranial pressure and traumatic lesions detected by T2*-weighted imaging in diffuse axonal injury. | |
| | |
MedLine Citation:
|
PMID: 19131819 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: We prospectively investigated whether the number of traumatic lesions detected by magnetic resonance imaging correlated with the level of intracranial pressure (ICP) and outcome among patients with diffuse axonal injury (DAI). MATERIALS: We prospectively studied 19 patients with closed head injuries who were admitted to the Critical Care and Trauma Services at our medical center and who fulfilled the following criteria: did not recover to a Glasgow Coma Scale score greater than 8 after impact, without fixed dilated pupils, and with initial computed tomography findings compatible with DAI. All subjects (n = 19) underwent ICP monitoring for at least 4 days, and T2*-gradient echo imaging was performed within 4 weeks of the impact. RESULTS: A significantly positive correlation was found between the number of lesions detected by magnetic resonance imaging and maximum ICP. The average Glasgow Coma Scale in the good outcome group (Glasgow Outcome Scale IV and V, n = 8) was significantly greater than that in the poor outcome group (Glasgow Outcome Scale I-III, n = 11). The average maximum ICP and the number of lesions in the good outcome group were significantly less than those in the poor outcome group. CONCLUSION: The number of lesions detected by T2*-gradient echo imaging correlates with the degree of intracranial hypertension and outcome in DAI. |
| | |
Authors:
|
Youchi Yanagawa; Toshihisa Sakamoto; Akira Takasu; Yoshiaki Okada |
Related Documents
:
|
2783289 - The value of non-contrast-enhanced ct in blunt abdominal trauma. 9257549 - Spontaneous gun pellet migration in the brain. 7302229 - Computed tomography of splenic trauma. 12079139 - An analysis of eastern association for the surgery of trauma practice guidelines for ce... 16915009 - Prognostic role of proton magnetic resonance spectroscopy in acute traumatic brain injury. 2739929 - Incidence of cavum septum pellucidum in adults: a sign of boxer's encephalopathy. 22227499 - Early findings on brain computed tomography and the prognosis of post cardiac arrest sy... 21757159 - Lv thrombus detection by routine echocardiography: insights into performance characteri... 19057799 - Relationship of coronary calcium and myocardial perfusion in individuals with chest pai... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of trauma Volume: 66 ISSN: 1529-8809 ISO Abbreviation: J Trauma Publication Date: 2009 Jan |
Date Detail:
|
Created Date: 2009-01-09 Completed Date: 2009-02-10 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
|
Languages: eng Pagination: 162-5 Citation Subset: AIM; IM |
Affiliation:
|
Department of Traumatology and Critical Care Medicine, National Defense Medical College (NDMC), Tokorozawa, Saitama, Japan. yangawa@me.ndmc.ac.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Chi-Square Distribution Diffuse Axonal Injury / pathology*, physiopathology* Female Glasgow Coma Scale Humans Intracranial Pressure / physiology* Magnetic Resonance Imaging / methods* Male Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The in vivo effect of propranolol on cerebral perfusion and hypoxia after traumatic brain injury.
Next Document: Effect of 35 degrees C hypothermia on intracranial pressure and clinical outcome in patients with se...