Blossoming contusions: identifying factors contributing to the expansion of traumatic intracerebral hemorrhage

J Neurosurg. 2018 Nov 1;129(5):1305-1316. doi: 10.3171/2017.7.JNS17988.

Abstract

Here, the authors examined the factors involved in the volumetric progression of traumatic brain contusions. The variables significant in this progression are identified, and the expansion rate of a brain bleed can now effectively be predicted given the presenting characteristics of the patient.

Keywords: AIC = Akaike information criterion; BAL = blood alcohol level; EDH = epidural hematoma; GCS = Glasgow Coma Scale; HCT = head CT; HPC = hemorrhagic progression of contusion; INR = international normalized ratio; ISS = Injury Severity Score; NISS = New Injury Severity Score; SAH = subarachnoid hemorrhage; SBP = systolic blood pressure; SDH = subdural hematoma; TBI = traumatic brain injury; hemorrhagic progression of contusion; intracerebral hemorrhage; intraparenchymal hemorrhage; tIPH = traumatic intraparenchymal hemorrhage; trauma; traumatic brain injury; volumetric progression.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Brain / pathology*
  • Cerebral Hemorrhage, Traumatic / pathology*
  • Child
  • Child, Preschool
  • Disease Progression
  • Female
  • Glasgow Coma Scale
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Young Adult