Related Experiment Videos
Delayed posttraumatic hemorrhage. "Spät-apoplexie"
J Alvarez-Sabín1, A Turon, M Lozano-Sánchez
1Department of Neurology, Hospital General Vall d'Hebron, Barcelona, Spain.
Stroke
|September 1, 1995
Summary
Delayed posttraumatic hemorrhage (DPTH) is a common cause of intracerebral hemorrhage (ICH) in young adults. This study highlights its clinical features and CT findings, showing a good prognosis in most cases.
Area of Science:
- Neurology
- Radiology
- Trauma Surgery
Background:
- Delayed posttraumatic hemorrhage (DPTH) is an under-recognized cause of intracerebral hemorrhage (ICH).
- Previous studies on DPTH predate widespread CT scanner use.
- This study focuses on clinical characteristics and CT findings of DPTH.
Purpose of the Study:
- To describe the clinical characteristics and CT findings of delayed posttraumatic hemorrhage (DPTH).
- To evaluate the frequency and outcomes of DPTH as a cause of intracerebral hemorrhage (ICH).
Main Methods:
- Retrospective evaluation of 10 patients with CT-proven DPTH from a cohort of 216 ICH patients.
- Analysis of clinical data and CT scans, including initial scans within 6 hours post-injury.
- Cerebral angiography was performed to rule out vascular abnormalities.
Main Results:
- DPTH was the fourth most frequent cause of ICH in the studied population.
- The symptom-free interval ranged from 1 to 15 days post-head injury.
- Hematomas were typically deep-seated, small to medium in size, with a good clinical outcome and no mortality or recurrence.
Conclusions:
- DPTH is a significant cause of ICH in young adults.
- Injury severity does not correlate with DPTH occurrence.
- Deep hemispheric location and favorable outcomes are linked to younger patient age and absence of complications.