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. Epub 2018 Jan 5.

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