Risk factors associated with significant posttraumatic brain hemorrhage as per the QueBIC categories: A retrospective

Axel Benhamed1, Amandine Crombé, Rémy Matichard

  • 1Centre de Recherche (A.B., M.E.), CHU de Québec-Université Laval, Québec, Québec, Canada; Service SAMU-Urgences (A.B., R.M., K.T.), Centre Hospitalier Universitaire Édouard Herriot-Université Claude Bernard Lyon 1, Lyon, France; IMADIS Groupe (A.C., M.S., D.M., G.G.), Lyon, France; Department of Diagnostic Oncologic Imaging (A.C.), Gustave Roussy Institute, Villejuif, France; Department of Radiology (A.C.), Pellegrin University Hospital, Bordeaux, France; Service de Médecine Intensive-Réanimation (L.F.), Centre Hospitalier Universitaire Edouard Herriot, Lyon, France; Department of Radiology (R.L.H.), Edouard Herriot Hospital, Lyon, France; Department of Radiology (D.M.), Saint Joseph Saint Luc Hospital, Lyon, France; Clinique Bouchard (G.G.), ELSAN, Marseille, France.

Summary

In complicated mild traumatic brain injury (mTBI), antithrombotic use, older age, confusion, and skull fracture predict higher risk. The Quebec Brain Injury Categories (QueBIC) stratification is mainly driven by these factors.

Related Concept Videos

Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Cerebral Edema ll: Pathophysiology01:22

Cerebral Edema ll: Pathophysiology

Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...