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. 2019 Feb:60:58-62.
doi: 10.1016/j.jocn.2018.10.035. Epub 2018 Oct 17.

The profile of blunt traumatic infratentorial cranial bleed types

Isaac Ng  1 , Nikolay Bugaev  2 , Ron Riesenburger  3 , Aaron C Shpiner  4 , Janis L Breeze  5 , Sandra S Arabian  6 , Reuven Rabinovici  7
Affiliations

The profile of blunt traumatic infratentorial cranial bleed types

Isaac Ng et al. J Clin Neurosci. 2019 Feb.

Abstract

Infratentorial traumatic intracranial bleeds (ICBs) are rare and the distribution of subtypes is unknown. To characterize this distribution the National Trauma Data Bank (NTDB) 2014 was queried for adults with single type infratentorial ICB, n = 1,821: subdural hemorrhage (SDH), subarachnoid hemorrhage (SAH), epidural hemorrhage (EDH), and intraparenchymal hemorrhage (IPH). Comparisons were made between the groups with statistical significance determined using chi squared and t-tests. SDH occurred in 29% of patients, mostly in elderly on anti-coagulants (13%) after a fall (77%), 42% of them underwent craniotomy, their mortality was the lowest (4%). SAH was the most common (56%) occurring mostly from traffic related injuries (27%). Furthermore, 9% of them had a severe head injury Glasgow Coma Scale ≤8 (GCS), but had the lowest Injury Severity Score (ISS, median 8) as well as a short hospital length of stay, 5.1 ± 6.2 days. These patients were most likely to be discharged to home (64%). They had the lowest mortality (4%). EDH was the least common ICB (5%), occurred in younger patients (median age 49 years), and it had the highest percentage of associated injuries (13%). EDH patients presented with the poorest neurological status (26% GCS ≤8, ISS median 25) and were operated on more than any other ICB type (55%). EDH was the highest mortality (9%) ICB type and had a low discharge to home rate (58%). IPH was uncommon (10%). Infratentorial bleeds types have different clinical courses, and outcomes. Understanding these differences can be useful in managing these patients.

Keywords: Traumatic brain injury; Traumatic infratentorial bleeds; Traumatic intracranial hemorrhage.

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Conflict of interest statement

Declarations of Interest:

There are no conflicts of interest to declare.

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References

    1. Ghajar J Traumatic brain injury. The Lancet 2000; 356(9233):923–929. - PubMed
    1. Folkerson LE, Sloan D, Cotton BA, Holcomb JB, Tomasek JS, Wade CE. Predicting progressive hemorrhagic injury from isolated traumatic brain injury and coagulation. Surgery. 2015;158(3):655–661. - PubMed
    1. Langlois JA, Rutland-Brown W, Wald MM. The epidemiology and impact of traumatic brain injury: a brief overview. J Head Trauma Rehabil. 2006; 21(5):375–378. - PubMed
    1. Ono J, Yamaura A, Kubota M, Okimura Y, Isobe K. Outcome prediction in severe head injury: analyses of clinical prognostic factors. J Clin Neurosci. 2001;8(2):120–123. - PubMed
    1. Yuan F, Ding J, Chen H, Guo Y, Wang G, Gao WW, Chen SW, Tian HL. Predicting progressive hemorrhagic injury after traumatic brain injury: derivation and validation of a risk score based on admission characteristics. J Neurotrauma. 2012;29(12):2137–2142. - PMC - PubMed

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