Spiral CT in Diagnosis of Severe Craniocerebral Trauma

Alekseev ., Trufanov G., Parfenov V., Ryazanov V.

Medicomilitary Academy, Saint Petersburg, Russia

 

The research goal was to ensure more effective diagnosis of severe craniocerebral trauma (CCT) and to determine its CT-criteria.

The results of examination of 134 cases were analyzed. Severe brain contusions were present in 65 of them (48.5%). Brain compression was diagnosed in 69 casualties (51.5%). Its most frequent cause was development of subdural hematoma (34.3%). Besides, brain compression was caused by epidural and multiple hematomas in 36 (26.9%) and 19 cases respectively. As for the last group of patients, they had of epi- and subdural hematomas (4), subdural and intracerebral hematomas (8), epidural and intracerebral hematomas (7).

We worked out such CT-criteria of severe CCT, as:

  1. A volume of hematoma together with a zone of traumatic edema.
  2. A degree of lateral dislocation.
  3. A degree of axial dislocation.
  4. Brain edema-swelling.
  5. A consciousness level according to the Glasgow Coma Scale.
  6. Presence of subarachnoid hemorrhage.

The obtained data allowed to come to the following conclusions: