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Predictive impact of ventricular imaging score onto traumatic brain injury outcome
EANS Academy. Splavski B. 09/25/19; 275410; EP05034
Prof. Dr. Bruno Splavski
Prof. Dr. Bruno Splavski

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Introduction: Ventricular imaging score can be calculated using specific measures on brain computed tomography (CT) scans of patients suffering traumatic brain injury (TBI). These variables may be utilized as independent predictive parameters influencing management outcome.
Material and methods: A series of patients who suffered moderate to severe brain injury during a 3-year period was analysed. Ventricular score was calculated on CT brain scans as a summation of four ventricular measures (maximum lateral ventricle bifrontal distance, foramen of Monro caudate nuclei distance, maximum third ventricle width, and minimum cella media width) divided by the inner skull diameter. The patients were allocated into two groups according to the initial state of consciousness assessed by Glasgow Coma Scale (GCS). The case group consisted of severely injured patients (GCS=4-8), while those with moderate injury (GCS 9-13) were included into the control group. Glasgow Outcome Score Extended (GOSE) was used to assess the outcome at hospital discharge. Statistical data analysis was performed to investigate the correlation between brain-imaging variables and the outcome.
Results: Low ventricular score was recorded in the majority of patients with acute severe brain injury. Some degree of ventricular enlargement was present in patients who suffered moderate injury. Brain-imaging variables were strongly correlated with the outcome, particularly in the case group.
Conclusion: Prognostic implication of ventricular imaging score variables in TBI patients with low Glasgow Coma Score was confirmed. These variables were also sensitive enough to distinguish the grade of injury. Ventricular score is a reliable indicator of management outcome and an appropriate predictive tool in everyday clinical practice.
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