https://scholars.lib.ntu.edu.tw/handle/123456789/476042
標題: | Changes of brainstem and perimesencephalic cistern: Dynamic predictor of outcome in severe head injury | 作者: | HON-MAN LIU YONG-KWANG TU Su C.-T. |
公開日期: | 1995 | 出版社: | Lippincott Williams and Wilkins | 卷: | 38 | 期: | 3 | 起(迄)頁: | 330-333 | 來源出版物: | Journal of Trauma - Injury, Infection and Critical Care | 摘要: | Objectives: Based on the findings in computed tomography scans, we defined a grading system that is well correlated to the changes of the brainstem and its perimesencephalic cistern during intracranial hypertension. Materials and Methods: The grades are defined as follows: Grade 0 is normal, grade 1 represents widening of the perimesencephalic cistern without brainstem change, grade 2 represents obliteration of the cistern without brainstem change, grade 3 represents a deformed brainstem; grade 4 represents brainstem density change, and grade 5 represents any combination of grades 3 and 4. As a comparison to the Glasgow Coma Scale (GCS) system, we examined this new system in 334 cases, in which 138 cases were classified as severe head injuries. Results: In cases of mild head injury (GCS score > 8), this new system was correlated to the GCS system well in grades 0 to 2. In cases of severe head injury, the prediction of outcome is better in our system because it is well correlated to dynamic change of intracranial hypertension, especially in cases with nonsurgical masses of grades 3 and 5. Conclusions: Our grading system is easy to use, and is well correlated to give an accurate prediction of outcome in cases with severe head injury based primarily on the results of an initial computed tomography scan, even without clinical information, and it should play a role in the classification of head injury. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0028939737&doi=10.1097%2f00005373-199503000-00003&partnerID=40&md5=60033c8fdfddcc805d50bc9df1637a9c https://scholars.lib.ntu.edu.tw/handle/123456789/476042 |
ISSN: | 1079-6061 | DOI: | 10.1097/00005373-199503000-00003 | SDG/關鍵字: | adult; aged; article; brain stem; child; computer assisted tomography; diagnostic accuracy; disease classification; disease severity; female; head injury; human; injury scale; intracranial hypertension; major clinical study; male; prediction; priority journal; tegmentum |
顯示於: | 醫學系 |
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