Abstract
The aim of this study is to clarify the clinical characteristics of parietal-parasagittal traumatic intracranial hemorrhage (TICH) after mild or moderate traumatic brain injury (TBI).
Methods. Subjects were 105 patients with mild or moderate TBI. The patients with parietal-parasagittal TICH were clinically analyzed based on the initial brain CT findings, hematoma sites and the clinical course as compared to those with TICH at other sites.
Results. Hematoma was located in the frontal or temporal lobes in 89.5% of the subjects and the parietal-parasagittal in 10.5%. Ten of the 11 patients suffering parietal-parasagittal TICH had skull fractures (7 depressed and 3 linear) but no depressed fracture observed in patients with frontal or temporal lobe hemorrhage. Neurological deterioration leading to a comatose state more frequently occurred in 63.6% of patients with parietal-parasagittal TICH than in those with frontal or temporal lobe hemorrhage (19.1%, p < 0.01). The incidence of hematoma growth was significantly higher in patients with parietal-parasagittal TICH (63.6%) than in those with frontal or temporal lobe hemorrhage (31.9%, p < 0.05).
Discussion. The incidence of parietal-parasagittal TICH is low, but the risk of neurological deterioration due to hematoma enlargement is significantly high. Parietal-parasagittal TICH may differ clinically from frontal-temporal TICH.
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References
Adams JH, Doyle D, Graham DI, Lawrence AE, McLellan DR, Gennarelli TA, Pastuszko M, Sakamoto T (1985) The contusion index: a reappraisal in human experimental nonmissile head injury. Neuropathol Appl Neurobiol 11: 299–308
Bousser MG, Chiras J, Bories J, Castaigne P (1985) Cerebral venous thrombosis-a review of 38 cases. Stroke 16: 199–213
Gurdjian ES (1976) Cerebral contusions: re-evaluation of the mechanism of their development. J Trauma 16: 35–51
Halliday AL (1998) Pathophysiology. In: Marion DW (ed) Traumatic brain injury. Thieme, New York, pp 29–38
Hesselbrock R, Sawaya R, Tomsick T, Wadhwa S (1985) Superior sagittal sinus thrombosis after closed head injury. Neurosurgery 16: 825–828
Humphreys RP, Hendric EB, Hoffmann HJ (1990) The headinjured child who “talks and dies.” Childs Nerv Syst 6: 139–142
Lobato RD, Rivas JJ, Gomez PA, Castaneda M, Canizal JM, Sarabia R, Cabrera A, Munoz MJ (1991) Head-injured patients who talk and deteriorate into coma. Analysis of 211 cases studied with computerized tomography. J Neurosurg 75: 256–261
Marshall LF, Toole BM, Bowers SA (1983) The National Traumatic Coma Data Bank. Part 2: Patients who talk and deteriorate: Implications for treatment. J Neurosurg 59: 285–288
Vance BM (1950) Ruptures of surface blood vessels in cerebral subdural heamorrhage. Arch Surg 61: 992–1006
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© 2003 Springer-Verlag Wien
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Kinoshita, K., Kushi, H., Hayashi, N. (2003). Characteristics of parietal-parasagittal hemorrhage after mild or moderate traumatic brain injury. In: Kuroiwa, T., et al. Brain Edema XII. Acta Neurochirurgica Supplements, vol 86. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0651-8_73
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DOI: https://doi.org/10.1007/978-3-7091-0651-8_73
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