Guiding lights in the early postoperative computed tomography following cranial surgery for traumatic brain injury patients

Autor: Hany Elkholy, Hossam Elnoamany, Mohamed Dorrah
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Egyptian Journal of Neurosurgery, Vol 39, Iss 1, Pp 1-11 (2024)
Druh dokumentu: article
ISSN: 2520-8225
DOI: 10.1186/s41984-024-00296-3
Popis: Abstract Background Computed tomography (CT) can be a substantial source of guiding lights during the early postoperative hours in traumatic brain injury (TBI) patients. However, controversy still exists regarding: What is the appropriate time for the first postoperative CT? And what are the guiding lights that can be gained from an early follow-up CT? Therefore, our objective was to reach more clear answers for these questions and to design a simple algorithm for the follow-up of TBI patients during the first 24 h after cranial surgery. Methods This is a retrospective study included 164 TBI patients who were surgically treated for various traumatic cranial and/or intracranial lesions in our neurosurgery department from January 2022 to April 2023. Pre- and postoperative clinical and radiological data of these patients were collected and analyzed. Results The mean age was (23.46 ± 15.126) years. The mean glasgow coma scale (GCS) on presentation was (11.62 ± 3.004). 51.2% of patients had their first follow-up CT done within the first postoperative hour (0–1 h). Postoperative remarkable CT findings were detected in 39 patients (23.8%), with 13 cases (33.3%) of them required re-surgery. 69.2% of the postoperative remarkable findings were recognized in the first hour CT (P = 0.025). Acute subdural hematoma was the only significant primary lesion associated with the need for re-surgery (P = 0.015). Postoperative development of remarkable CT findings was significantly (P
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