雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

One-year Follow-up Study of Patients with Severe Head Injury—Comparison of outcomes for focal and diffuse brain injuries Yutaka HONMA 1 , Tomoya OGAWA 1 , Nobuyuki KAWAI 1 , Masahiro KAGAWA 1 , Tsuyoshi KUNIYOSHI 1 , Terukazu ITO 1 , Seigo NAGAO 1 , Takashi OHMOTO 2 1Department of Neurological Surgery, Kagawa Medical School 2Department of Neurological Surgery, Okayama University Medical School Keyword: Severe head injury , CT , Focal injury , Diffuse injury , Long-term follow up pp.677-682
Published Date 1992/6/10
DOI https://doi.org/10.11477/mf.1436900477
  • Abstract
  • Look Inside

Forty patients with severe head injury were classified on the basis of initial CT findings into 2 groups of focal injury (n = 20, mean age = 55.2 years) , and diffuse in-jury (n=20, mean age=45.0 years). Glasgow Outcome Scale (GOS) status at 2 post-injury intervals (at dis-charge and 1 year after injury) of the 2 groups were compared and prognostic factors examined.

At discharge (less than 3 months after injury), there were slight differences between the 2 groups in GOS score distribution, with nearly half of the patients in each group being independent. One year after injury, mean GOS score of the focal injury group was relative-ly more favorable, with about 60% of patients being in-dependent, while no significant improvement was observed in the diffuse injury group. With the excep-tion of brainstem signs, in both groups, the parametersof type of lesion detected on initial CT, modality of treatment, patient age, and operative timing all proved of little prognostic value. Brainstem injury due to in-tracranial mass lesions or postoperative brain edema was presumably a critical factor affecting prognosis in the focal injury group, while both primary and secon-dary brainstem injuries could have been major factorsaffecting prognosis in the diffuse injury group. In the prognosis of patients with severe head in-juries, not only the parameter of initial CT findings but also time course of changes in brainstem signs, serial CT findings, MRI, and electrophysiological analyses such as motor evoked response should be considered.


Copyright © 1992, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

関連文献

もっと見る

文献を共有