계명대학교 의학도서관 Repository

중증 미만성 뇌손상의 예후에 관한 분석

Metadata Downloads
Author(s)
손은익임만빈김인홍Eun Ik SonMan Bin YimIn Hong Kim
Keimyung Author(s)
Son, Eun IkYim, Man BinKim, In Hong
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
대한신경외과학회지
Issued Date
1989
Volume
18
Issue
7~12
Abstract
Computed tomography(CT) has enabled early recognition and treatment of focal injuries in patients with head trauma. However, CT has been less beneficial in identifying diffuse brain injury(DBI).
The authors have analyzed retrospectively, a series of 132 patients with DBI observed for 2 years from Aug. 1986 to Jul. 1988 to evaluate the significance of the factors affectiong ourcome. Eighty-three patients were selected as being compatible with moderate and severe diffuse axonal injury(DAI) classified by Gennarelli, defined by coma without a CT lesion that is an obvious cause and coma greater than 24 hr with or without decerebration.
The results are summarized as follows:
1) The 38(45.7%) out of 83 patients were found below age of 20, but there was no statistical significance between age distribution and outcome.
2) In case of initial Glasgow coma scale(GCS) of 7 or 8, 32(86.5%) out of 37 patients revealed good outcome, but 18(90%) of 20 patients with a score of 3 or 4 revealed poor outcome(p<0.001).
3) With regard to brain swelling in CT, there was significant statistical difference to outcome(p<0.05).
4) Small hemorrhages on corpus callosum, basal ganglia, basal cistern, peritentorial, lateral ventricle that is characteristic CT findings for DAI were showed 58(70%) out of cases.
It might be concluded that initial GCS, brain swelling and small hemorrhages in CT were significant factors affecting outcome in DAI.
Alternative Title
Analysis of Factors on Outcome in Severe Diffuse Brain Injury
Keimyung Author(s)(Kor)
손은익
임만빈
김인홍
Publisher
School of Medicine
Citation
손은익 et al. (1989). 중증 미만성 뇌손상의 예후에 관한 분석. 대한신경외과학회지, 18(7~12), 1038–1044.
Type
Article
ISSN
1225-8245
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38924
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.