CT‐Based Classification of Acute Cerebral Edema: Association with Intracranial Pressure and Outcome
| Autor: | Stefan Zausinger, Markus Holtmanspötter, Maximilian Patzig, Mathias Kunz, Stefanie Lietke |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Subarachnoid hemorrhage Intracranial Pressure Traumatic brain injury Brain Edema 030218 nuclear medicine & medical imaging Cerebral edema 03 medical and health sciences Basal (phylogenetics) 0302 clinical medicine Internal medicine Edema Brain Injuries Traumatic medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Intracranial pressure Intracerebral hemorrhage business.industry Cistern Brain Middle Aged Subarachnoid Hemorrhage medicine.disease nervous system diseases Cardiology Female Neurology (clinical) Intracranial Hypertension medicine.symptom Tomography X-Ray Computed business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neuroimaging. 30:640-647 |
| ISSN: | 1552-6569 1051-2284 |
| Popis: | BACKGROUND AND PURPOSE Brain edema after acute cerebral lesions may lead to raised intracranial pressure (ICP) and worsen outcome. Notwithstanding, no CT-based scoring system to quantify edema formation exists. This retrospective correlative analysis aimed to establish a valid and definite CT score quantifying brain edema after common acute cerebral lesions. METHODS A total of 169 CT investigations in 60 patients were analyzed: traumatic brain injury (TBI; n = 47), subarachnoid hemorrhage (SAH; n = 70), intracerebral hemorrhage (ICH; n = 42), and ischemic stroke (n = 10). Edema formation was classified as 0: no edema, 1: focal edema confined to 1 lobe, 2: unilateral edema > 1 lobe, 3: bilateral edema, 4: global edema with disappearance of sulcal relief, and 5: global edema with basal cisterns effacement. ICP and Glasgow Outcome Score (GOS) were correlated to edema formation. RESULTS Median ICP values were 12.0, 14.0, 14.9, 18.2, and 25.9 mm Hg in grades 1-5, respectively. Edema grading significantly correlated with ICP (r = .51; P |
| Databáze: | OpenAIRE |
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