Journal of Neurosurgery
,  том 61 ,  издание 4 ,  страницы 691-694

Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury

Тип публикации: Journal Article
Дата публикации: 2009-05-08
SCImago Q1
Tоп 10% SCImago
WOS Q1
БС1
SJR: 1.403
CiteScore: 6.7
Impact factor: 3.6
ISSN: 00223085, 19330693
Краткое описание
✓ The relationship of outcome to the appearance of the basal cisterns as seen on initial computerized tomography (CT) scanning was assessed in 218 consecutive severely head-injured patients entered into the second phase of the National Pilot Traumatic Coma Data Bank. Outcome could be directly related to the status of the basal cisterns on the initial CT scan. The mortality rates were 77%, 39%, and 22% among those with absent, compressed, and normal basal cisterns, respectively. This association between cisterns and outcome was shown to be strong after adjusting for Glasgow Coma Scale (GCS) score (p < 0.001). The state of the cisterns was more important for those with higher GCS scores (scores 6 to 8) than for those with lower scores (scores 3 to 5). Patients with GCS scores of 6 to 8, with cisterns absent or not visualized, suffered nearly a fourfold additional risk of poor outcome, compared to those with normal cisterns. This indicates that the status of the cisterns can be used as an early noninvasive method of identifying patients at high risk of death or severe disability, in whom the initial neurological examination would potentially suggest otherwise.
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Toutant S. M. et al. Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury // Journal of Neurosurgery. 2009. Vol. 61. No. 4. pp. 691-694.
ГОСТ со всеми авторами (до 50) Скопировать
Toutant S. M., Klauber M. R., Marshall L. F., Toole B. M., Bowers S. A., Seelig J. M., Varnell J. B. Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury // Journal of Neurosurgery. 2009. Vol. 61. No. 4. pp. 691-694.
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TY - JOUR
DO - 10.3171/jns.1984.61.4.0691
UR - https://doi.org/10.3171/jns.1984.61.4.0691
TI - Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury
T2 - Journal of Neurosurgery
AU - Toutant, Steven M.
AU - Klauber, Melville R.
AU - Marshall, Lawrence F.
AU - Toole, Belinda M.
AU - Bowers, Sharon A.
AU - Seelig, John M.
AU - Varnell, James B.
PY - 2009
DA - 2009/05/08
PB - Journal of Neurosurgery Publishing Group (JNSPG)
SP - 691-694
IS - 4
VL - 61
PMID - 6470778
SN - 0022-3085
SN - 1933-0693
ER -
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@article{2009_Toutant,
author = {Steven M. Toutant and Melville R. Klauber and Lawrence F. Marshall and Belinda M. Toole and Sharon A. Bowers and John M. Seelig and James B. Varnell},
title = {Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury},
journal = {Journal of Neurosurgery},
year = {2009},
volume = {61},
publisher = {Journal of Neurosurgery Publishing Group (JNSPG)},
month = {may},
url = {https://doi.org/10.3171/jns.1984.61.4.0691},
number = {4},
pages = {691--694},
doi = {10.3171/jns.1984.61.4.0691}
}
MLA
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Toutant, Steven M., et al. “Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury.” Journal of Neurosurgery, vol. 61, no. 4, May. 2009, pp. 691-694. https://doi.org/10.3171/jns.1984.61.4.0691.
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