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[Computerized tomography in post-traumatic cerebral lesions (author's transl)].

D Gardeur, R Allal, C Piedeliévre

    Journal De Radiologie
    |February 1, 1979
    PubMed
    Summary

    Computerized tomography (CT) scans revealed abnormalities in 96 of 108 patients with cranial injuries. CT findings correlated well with clinical symptoms, especially for psychic disturbances and higher center disorders.

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    Area of Science:

    • Neurology
    • Radiology
    • Neurosurgery

    Background:

    • Cranial injuries can lead to a wide range of neurological and structural abnormalities.
    • Computerized tomography (CT) is a key diagnostic tool for evaluating head trauma.
    • Understanding the spectrum of CT findings is crucial for patient management.

    Purpose of the Study:

    • To review the computerized tomography findings in patients with chronic cranial injuries.
    • To correlate clinical presentations with CT scan results.
    • To identify common abnormalities detected by CT in this patient cohort.

    Main Methods:

    • Retrospective review of 108 cases with cranial injury.
    • Analysis of computerized tomography examinations performed more than three months post-injury.

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  • Comparison of CT results with clinical data.

    • Main Results:

    • 96 out of 108 patients exhibited abnormalities on CT scans.
    • Common findings included ventricular dilatation (96 cases), generalized atrophy (27), porencephaly (27), and enlarged sylvian fossa (28).
    • Good clinical-CT correlation was observed in psychic disturbances and higher center disorders, but was variable in epilepsy and neurological deficits.

    Conclusions:

    • Computerized tomography is highly sensitive in detecting abnormalities in chronic cranial injuries.
    • CT findings provide valuable insights into the structural consequences of head trauma.
    • Correlation between clinical symptoms and CT results aids in diagnosis and prognosis, particularly in complex neurological cases.