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Titolo:
Neuropsychological outcome in relation to the traumatic coma data bank classification of computed tomography imaging
Autore:
Mataro, M; Poca, MA; Sahuquillo, J; Pedraza, S; Ariza, M; Amoros, S; Junque, C;
Indirizzi:
Vall Hebron Univ Hosp, Dept Neurosurg, Barcelona 08035, Spain Vall Hebron Univ Hosp Barcelona Spain 08035 surg, Barcelona 08035, Spain Vall Hebron Univ Hosp, Neurotraumatol Res Unit, Barcelona, Spain Vall Hebron Univ Hosp Barcelona Spain umatol Res Unit, Barcelona, Spain Hosp Univ Josep Trueta, Neuroradiol Unit, Girona, Spain Hosp Univ Josep Trueta Girona Spain ta, Neuroradiol Unit, Girona, Spain Univ Barcelona, Dept Psychiat & Clin Psychophysiol, Barcelona, Spain Univ Barcelona Barcelona Spain t & Clin Psychophysiol, Barcelona, Spain
Titolo Testata:
JOURNAL OF NEUROTRAUMA
fascicolo: 9, volume: 18, anno: 2001,
pagine: 869 - 879
SICI:
0897-7151(200109)18:9<869:NOIRTT>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE HEAD-INJURY; INTRACRANIAL HYPERTENSION; VENTRICULAR ENLARGEMENT; BRAIN-LESIONS; EARLY INDEXES; SCALE; MILD; CT; EXPERIENCE; MANAGEMENT;
Keywords:
computerized tomography; head injury; neuropsychology; outcome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Life Sciences
Citazioni:
53
Recensione:
Indirizzi per estratti:
Indirizzo: Poca, MA Vall Hebron Univ Hosp, Dept Neurosurg, Passeig Vall Hebron 119-129, Barcelona 08035, Spain Vall Hebron Univ Hosp Passeig Vall Hebron 119-129Barcelona Spain 08035
Citazione:
M. Mataro et al., "Neuropsychological outcome in relation to the traumatic coma data bank classification of computed tomography imaging", J NEUROTRAU, 18(9), 2001, pp. 869-879

Abstract

The Traumatic Coma Data Bank (TCDB) classification of CT (computed tomography) scan has been related to the general outcome and intracranial pressureevolution. Our aim was to analyse the relationship of this classification with neuropsychological outcome and late indices of ventricular dilatation. Fifty-seven patients with a moderate or severe head injury (mean admissionGlasgow Coma Scale Score, 7.7) were studied from 122 consecutive cases. There were 49 males and 8 females (mean age, 27.7 years). Subjects were classified into TCDB categories on the basis of their most serious acute CT scanfinding. From the last control CT scan image, performed at a mean of 6.12 months postinjury, several measures of ventricular dilatation were calculated. Neuropsychological assessment at 6-month included tests of verbal and visual memory, visuoconstructive functions, fine motor speed, and frontal lobe functions. Patients with diffuse injury type I showed better neuropsychological outcome than patients with more severe diffuse injuries and those with mass lesions. Within the diffuse injury groups, the degree of diffuse damage was related to measures of verbal memory and attention and cognitive flexibility. Ventricular enlargement was more evident in patients with masslesions and it decreased in the remaining groups as the severity of diffuse injury diminished. These results show that there is a relationship between acute intracranial lesion diagnosis according to TCDB classification and neuropsychological results and ventricular dilatation indices at 6 months postinjury.

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Documento generato il 01/12/20 alle ore 01:10:07