Diffuse axonal injury: analysis of 100 patients with radiological signs

One hundred patients with head injuries who showed diffuse axonal injury on computed tomographic scans are reported. Evaluation of the Glasgow Coma Score, pupillary signs, and computed tomographic findings on admission led to an improved ability to forecast outcomes. Our relatively good results as c...

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Bibliographic Details
Published inNeurosurgery Vol. 27; no. 3; p. 429
Main Authors Levi, L, Guilburd, J N, Lemberger, A, Soustiel, J F, Feinsod, M
Format Journal Article
LanguageEnglish
Published United States 01.09.1990
Subjects
Adult
Anisocoria - etiology
Axons
Brain Injuries - complications
Brain Injuries - diagnostic imaging
Brain Injuries - epidemiology
Brain Injuries - mortality
Cerebral Hemorrhage - diagnostic imaging
Cerebral Hemorrhage - epidemiology
Child
Coma - etiology
Craniocerebral Trauma - complications
Craniocerebral Trauma - physiopathology
Humans
Israel - epidemiology
Outcome and Process Assessment (Health Care)
Prognosis
Prospective Studies
Stress, Mechanical
Tomography, X-Ray Computed
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Summary:One hundred patients with head injuries who showed diffuse axonal injury on computed tomographic scans are reported. Evaluation of the Glasgow Coma Score, pupillary signs, and computed tomographic findings on admission led to an improved ability to forecast outcomes. Our relatively good results as compared with other series, can be explained by the high proportion of children and by the liberal use of computed tomography to evaluate head injuries, thus revealing that concussion may sometimes be regarded as an early form of diffuse axonal injury.
ISSN:0148-396X
DOI:10.1227/00006123-199009000-00015