The prognostic importance of the volume of traumatic epidural and subdural haematomas revisited

W. A. Van Den Brink, Marike Zwienenberg-Lee, S. M. Zandee, L. Van Der Meer, A. I R Maas, C. J J Avezaat

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

The size of a traumatic intracranial haematoma at the moment of diagnosis can be impressive. Haematoma thickness is an inaccurate estimator of haematoma volume, and association with patient outcome is controversial. In this study computerized volumetry of off-line digitized CT scans was used to relate haematoma volume with both patient characteristics on admission and at the six months outcome. This retrospective study covered the time period 1981/1990. Ninety eight patients operated upon for an epidural haematoma and 91 patients operated upon for an acute subdural haematoma were analyzed. The relative importance of clinical data, CT scan parameters, and calculated haematoma volumes was determined by multivariate analysis. Volume of the haematoma did not correlate with preoperative neurological condition or the six months outcome in either group, and consequently is not of additional prognostic value.

Original languageEnglish (US)
Pages (from-to)509-514
Number of pages6
JournalActa Neurochirurgica
Volume141
Issue number5
DOIs
StatePublished - 1999
Externally publishedYes

Keywords

  • Haematoma volume
  • Head injury
  • Prognosis
  • Traumatic intracranial haematoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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