THE RELATIONSHIP OF THE RESULTS OF COMPUTER TOMOGRAPHY WITH A SCALE GLASGOW COMA IN PATIENTS WITH ACUTE TRAUMATIC BRAIN INJURY
Abstract
The aim was to evaluate the results of computed tomography in patients with acute TBI and the relationship between CT scan results and the level of the scale of coma of Glasgow. Studied the CT scan, 90 individuals with TBI. The average age was 31.56±2.09 years. Men stood at 88.9%, women – 11.1%. The severity of TBI was assessed using the scale Glasgow coma (GCS). CT was conducted according to standard methods in the normal mode without contrasting. The main reasons for TBI were traffic accidents (60,0%) and fall (32.2 per cent). In 43.3% of cases were diagnosed with mild TBI, the average score of the GCS – 13.14±0.84. The average degree of head injury was noted in 44.4% of cases, the average score is 9.2±1,28 and severe head injury in 12.2% of cases, the average score of 6.36±1.27 mm. Mixed lesions have lower GCS (9.78±1.65) than solitary lesion (12.89±1.24). The lowest value of the GCS have mixed lesions combined with the fracture (6.42±1.03).
References
1. Бывальцев В.А., Калинин А.А., Оконешникова А.К., Будаев А.Э. Травматическая пневмоцефалия: этиопатогенез, диагностика, способы хирургического лечения. // Acta Biomedica Scientifica. 2016. Т. 1. № 4. С. 9-18.
2. Киндаров З.Б., Идалов М.М., Умаров Р.М. и др. Сочетанная черепно-мозговая травма в Чеченской Республике: эпидемиология и исходы // Материалы Всероссийской научно-практической конференции «Поленовские чтения». СПб., 2007. С. 37- 38.
3. Китаев В.М., Китаев С.В. Лучевая диагностика заболеваний головного мозга. М.: МЕДпресс-информ. 2015. 136 с.
4. Овсянников Д.М., Чехонацкий А.А., Колесов В.Н., Бубашвили А.И. Социальные и эпидемиологические аспекты черепно-мозговой травмы (обзор) // Саратовский научно-медицинский журнал. 2012. Т. 8. № 3. С. 777–785.
5. Пономарева Е.Н., Сорокин А.А., Николайчик И.Р., Рухлядев И.С. и др. Легкая черепно-мозговая травма: структура и причины диагностических ошибок // Медицинские новости. 2011. №7. С.54-57.
6. Потапов А.А., Лихтерман Л.Б., Кравчук А.Д., Корниенко В.Н. и др. Современные подходы к изучению и лечению черепно-мозговой травмы // Анналы клинической и экспериментальной нефрологии. 2010. Т. 4. №1. С. 4-12.
7. Easter J.S., Haukoos J.S., Meehan W.P., Novack V., Edlow J.A. Will Neuroimaging Reveal a Severe Intracranial Injury in This Adult With Minor Head Trauma?: The Rational Clinical Examination Systematic Review // JAMA. 2015. Vol.314. №24. P. 2672-2681.
8. Hans P., Mehrotra A., Kumar P., Agarwal M., et al. Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury // Int J AdvInteg Med Sci. 2017. Vol.2 (1). P. 17-23.
9. Imtiaz A.M. Trauma Radiology: Importance of Computed Tomography Scans In Acute Traumatic Brain Injury // International Journal of Pharmaceutical Sciences and Business Management. 2016. Vol.4. Is. 4. P. 7-15.
10. Jagdish P., Chaturbhuj S., Naima M., Meena G.L., et al. Role of Computerized Tomography in Craniocerebral Trauma // Journal of medical science and clinical research (JMSCR). 2017. Vol. 5. Is. 3. P. 18540-18546.
11. Nayebaghayee H., Afsharian T. Correlation between Glasgow Coma Scale and brain computed tomography scan findings in head trauma patients // Asian J Neurosurg. 2016. Vol. 11. P. 46-49.
12. Sah S.K., Subedi N.D., Poudel K., Mallik M. Correlation of Computed Tomography findings with Glassgow Coma Scale in patients with acute traumatic brain injury // Journal of College of Medical Sciences-Nepal. 2014. Vol.10. No.2. P. 2-7.
13. Singh T.S., Bhargava A., Reddy N. Significance of computed tomography scans in head injury // Open Journal of Clinical Diagnostics. 2013. Vol. 3. P. 109-114.
14. Studel W.I., Cortbus F., Strowifzki M., et al. Epidemiology and prevention of total head injuries in Germany trends and the impact of the reunification // ActaNeutochirg. (Wein). 2005. Vol. 147. №3. P. 231- 242.
REFERENCES
1. Byvaltsev V.A., Kalinin A.A., Okoneshnikova A.K., Budayev A.E. Posttraumatic pneumacephalus: etiopathogenesis, diagnostics, methods of surgical treatment. // Acta Biomedica Scientifica. 2016. Vol. 1. № 4. P. 9-18. (in Russian)
2. Kindarov Z.B., Idalov M.M., Umarov R.M., et al. Concomitant traumatic brain injury in the Chechen Republic: epidemiology and outcomes Materials of the All-Russian scientific-practical conference "Polenskie readings". St. Petersburg, 2007. P. 37- 38. (in Russian)
3. Kitaev V.M., Kitaev S.V. Radiologic diagnosis of diseases of the brain. Moscow: MEDpress-inform, 2015. 136 p. (in Russian)
4. Ovsjannikov D.M., Chehonackij A.A., Kolesov V.N., Bubashvili A.I. Social and epidemiological aspects of traumatic brain injury (review) // Saratovskij nauchno-medicinskij zhurnal. 2012. Vol. 8. №3. P. 777–785. (in Russian)
5. Ponomareva E.N., Sorokin A.A., Nikolajchik I.R., et al. Easy traumatic brain injury: the structure and causes of diagnostic errors // Medicinskie novosti. 2011. №7. P. 54-57. (in Russian)
6. Potapov A.A., Lihterman L.B., Kravchuk A.D., al. Modern approaches to the study and treatment of traumatic brain injury // Annaly klinicheskoj i jeksperimental'noj nefrologii. 2010. Vol. 4. №1. P. 4-12. (in Russian)
7. Easter J.S., Haukoos J.S., Meehan W.P., Novack V., Edlow J.A. Will Neuroimaging Reveal a Severe Intracranial Injury in This Adult With Minor Head Trauma? The Rational Clinical Examination Systematic Review // JAMA. 2015. Vol.314. №24. P. 2672-2681.
8. Hans P., Mehrotra A., Kumar P., Agarwal M., et al. Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury // Int J AdvInteg Med Sci. 2017. Vol.2 (1). P. 17-23.
9. Imtiaz A.M. Trauma Radiology: Importance of Computed Tomography Scans In Acute Traumatic Brain Injury // International Journal of Pharmaceutical Sciences and Business Management. 2016. Vol.4. Is. 4. P. 7-15.
10. Jagdish P., Chaturbhuj S., Naima M., Meena G.L., et al. Role of Computerized Tomography in Craniocerebral Trauma // Journal of medical science and clinical research (JMSCR). 2017. Vol. 5. Is. 3. P. 18540-18546.
11. Nayebaghayee H., Afsharian T. Correlation between Glasgow Coma Scale and brain computed tomography scan findings in head trauma patients // Asian J Neurosurg. 2016. Vol. 11. P. 46-49.
12. Sah S.K., Subedi N.D., Poudel K., Mallik M. Correlation of Computed Tomography findings with Glassgow Coma Scale in patients with acute traumatic brain injury // Journal of College of Medical Sciences-Nepal. 2014. Vol.10. No.2. P. 2-7.
13. Singh T.S., Bhargava A., Reddy N. Significance of computed tomography scans in head injury // Open Journal of Clinical Diagnostics. 2013. Vol. 3. P. 109-114.
14. Studel W.I., Cortbus F., Strowifzki M., et al. Epidemiology and prevention of total head injuries in Germany trends and the impact of the reunification // ActaNeutochirg. (Wein). 2005. Vol. 147. №3. P. 231- 242.
2. Киндаров З.Б., Идалов М.М., Умаров Р.М. и др. Сочетанная черепно-мозговая травма в Чеченской Республике: эпидемиология и исходы // Материалы Всероссийской научно-практической конференции «Поленовские чтения». СПб., 2007. С. 37- 38.
3. Китаев В.М., Китаев С.В. Лучевая диагностика заболеваний головного мозга. М.: МЕДпресс-информ. 2015. 136 с.
4. Овсянников Д.М., Чехонацкий А.А., Колесов В.Н., Бубашвили А.И. Социальные и эпидемиологические аспекты черепно-мозговой травмы (обзор) // Саратовский научно-медицинский журнал. 2012. Т. 8. № 3. С. 777–785.
5. Пономарева Е.Н., Сорокин А.А., Николайчик И.Р., Рухлядев И.С. и др. Легкая черепно-мозговая травма: структура и причины диагностических ошибок // Медицинские новости. 2011. №7. С.54-57.
6. Потапов А.А., Лихтерман Л.Б., Кравчук А.Д., Корниенко В.Н. и др. Современные подходы к изучению и лечению черепно-мозговой травмы // Анналы клинической и экспериментальной нефрологии. 2010. Т. 4. №1. С. 4-12.
7. Easter J.S., Haukoos J.S., Meehan W.P., Novack V., Edlow J.A. Will Neuroimaging Reveal a Severe Intracranial Injury in This Adult With Minor Head Trauma?: The Rational Clinical Examination Systematic Review // JAMA. 2015. Vol.314. №24. P. 2672-2681.
8. Hans P., Mehrotra A., Kumar P., Agarwal M., et al. Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury // Int J AdvInteg Med Sci. 2017. Vol.2 (1). P. 17-23.
9. Imtiaz A.M. Trauma Radiology: Importance of Computed Tomography Scans In Acute Traumatic Brain Injury // International Journal of Pharmaceutical Sciences and Business Management. 2016. Vol.4. Is. 4. P. 7-15.
10. Jagdish P., Chaturbhuj S., Naima M., Meena G.L., et al. Role of Computerized Tomography in Craniocerebral Trauma // Journal of medical science and clinical research (JMSCR). 2017. Vol. 5. Is. 3. P. 18540-18546.
11. Nayebaghayee H., Afsharian T. Correlation between Glasgow Coma Scale and brain computed tomography scan findings in head trauma patients // Asian J Neurosurg. 2016. Vol. 11. P. 46-49.
12. Sah S.K., Subedi N.D., Poudel K., Mallik M. Correlation of Computed Tomography findings with Glassgow Coma Scale in patients with acute traumatic brain injury // Journal of College of Medical Sciences-Nepal. 2014. Vol.10. No.2. P. 2-7.
13. Singh T.S., Bhargava A., Reddy N. Significance of computed tomography scans in head injury // Open Journal of Clinical Diagnostics. 2013. Vol. 3. P. 109-114.
14. Studel W.I., Cortbus F., Strowifzki M., et al. Epidemiology and prevention of total head injuries in Germany trends and the impact of the reunification // ActaNeutochirg. (Wein). 2005. Vol. 147. №3. P. 231- 242.
REFERENCES
1. Byvaltsev V.A., Kalinin A.A., Okoneshnikova A.K., Budayev A.E. Posttraumatic pneumacephalus: etiopathogenesis, diagnostics, methods of surgical treatment. // Acta Biomedica Scientifica. 2016. Vol. 1. № 4. P. 9-18. (in Russian)
2. Kindarov Z.B., Idalov M.M., Umarov R.M., et al. Concomitant traumatic brain injury in the Chechen Republic: epidemiology and outcomes Materials of the All-Russian scientific-practical conference "Polenskie readings". St. Petersburg, 2007. P. 37- 38. (in Russian)
3. Kitaev V.M., Kitaev S.V. Radiologic diagnosis of diseases of the brain. Moscow: MEDpress-inform, 2015. 136 p. (in Russian)
4. Ovsjannikov D.M., Chehonackij A.A., Kolesov V.N., Bubashvili A.I. Social and epidemiological aspects of traumatic brain injury (review) // Saratovskij nauchno-medicinskij zhurnal. 2012. Vol. 8. №3. P. 777–785. (in Russian)
5. Ponomareva E.N., Sorokin A.A., Nikolajchik I.R., et al. Easy traumatic brain injury: the structure and causes of diagnostic errors // Medicinskie novosti. 2011. №7. P. 54-57. (in Russian)
6. Potapov A.A., Lihterman L.B., Kravchuk A.D., al. Modern approaches to the study and treatment of traumatic brain injury // Annaly klinicheskoj i jeksperimental'noj nefrologii. 2010. Vol. 4. №1. P. 4-12. (in Russian)
7. Easter J.S., Haukoos J.S., Meehan W.P., Novack V., Edlow J.A. Will Neuroimaging Reveal a Severe Intracranial Injury in This Adult With Minor Head Trauma? The Rational Clinical Examination Systematic Review // JAMA. 2015. Vol.314. №24. P. 2672-2681.
8. Hans P., Mehrotra A., Kumar P., Agarwal M., et al. Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury // Int J AdvInteg Med Sci. 2017. Vol.2 (1). P. 17-23.
9. Imtiaz A.M. Trauma Radiology: Importance of Computed Tomography Scans In Acute Traumatic Brain Injury // International Journal of Pharmaceutical Sciences and Business Management. 2016. Vol.4. Is. 4. P. 7-15.
10. Jagdish P., Chaturbhuj S., Naima M., Meena G.L., et al. Role of Computerized Tomography in Craniocerebral Trauma // Journal of medical science and clinical research (JMSCR). 2017. Vol. 5. Is. 3. P. 18540-18546.
11. Nayebaghayee H., Afsharian T. Correlation between Glasgow Coma Scale and brain computed tomography scan findings in head trauma patients // Asian J Neurosurg. 2016. Vol. 11. P. 46-49.
12. Sah S.K., Subedi N.D., Poudel K., Mallik M. Correlation of Computed Tomography findings with Glassgow Coma Scale in patients with acute traumatic brain injury // Journal of College of Medical Sciences-Nepal. 2014. Vol.10. No.2. P. 2-7.
13. Singh T.S., Bhargava A., Reddy N. Significance of computed tomography scans in head injury // Open Journal of Clinical Diagnostics. 2013. Vol. 3. P. 109-114.
14. Studel W.I., Cortbus F., Strowifzki M., et al. Epidemiology and prevention of total head injuries in Germany trends and the impact of the reunification // ActaNeutochirg. (Wein). 2005. Vol. 147. №3. P. 231- 242.
Published
2019-01-31
How to Cite
ГАСЫМЗАДЕ, Гёвхар Шаин кызы.
THE RELATIONSHIP OF THE RESULTS OF COMPUTER TOMOGRAPHY WITH A SCALE GLASGOW COMA IN PATIENTS WITH ACUTE TRAUMATIC BRAIN INJURY.
Sibirskij Medicinskij Zurnal (Irkutsk) = Siberian Medical Journal (Irkutsk) 16+, [S.l.], v. 154, n. 3, p. 21-25, jan. 2019.
ISSN 1815-7572. Available at: <http://smj.ismu.baikal.ru/index.php/osn/article/view/305>. Date accessed: 28 jan. 2026.
Issue
Section
Original research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
