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Intraparenchymal and Intraventricular Hemorrhage without Mass Effect in Traumatic Coma

Published online by Cambridge University Press:  18 September 2015

Jen-Pei Lee
Jen-Pei Lee*
Affiliation:
Division of Neurosurgery, Department of Surgery, Chang Gung Medical College and Chang Gung Memorial Hospital, Taipei, Taiwan
*
Division of Neurosurgery, Taiwan Provincial Tao-Yuan General Hospital, 1492, Chung-Shan Road, Tao-Yuan Taiwan 33007 R.O.C.
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Abstract:

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A group of 57-head injured patients showing computerized tomographic (CT) findings compatible with “diffuse brain injury” or of the so called “diffuse axonal injury” is analyzed. Thirty-four patients showed intraparenchymal hemorrhage in the CT scan study, 8 intraventricular hemorrhage and 15 patients had both intraparenchymal and intraventricular hemorrhage. Forty percent (23/57) of those with these findings had associated intracranial focal lesions. The deep nuclei are the most common location of intraparenchymal hemorrhage. Signs of brain stem hemorrhage were seen in 9 patients. Forty-nine percent of patients in this series had a good outcome. Old age (>60), abnormal motor response, abnormal eye signs, associated with focal lesions, and evidence of brain stem hemorrhage are reliable prognostic parameters for a grave outcome.

Type
Articles
Information
Canadian Journal of Neurological Sciences , Volume 18 , Issue 4 , November 1991 , pp. 458 - 462
Copyright
Copyright © Canadian Neurological Sciences Federation 1991

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