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

Access to this content is reserved for EANS members and attendees of this event. Click here to become an EANS member and gain your access to the full content of the EANS Academy

Discussion Forum (0)
Rate & Comment (0)
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.
Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.

Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.

Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.

Save Settings