Title CT mozga u dijagnostici neurotraume
Author Ruben Kovač
Mentor Damir Miletić (mentor)
Committee member Darko Ledić (predsjednik povjerenstva)
Committee member Melita Kukuljan (član povjerenstva)
Committee member Berislav Budiselić (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Radiology) Rijeka
Defense date and country 2016-07-15, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Radiology
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Namjena ovog rada je analiza i usporedba kliničkih i neuroradioloških parametara u
pacijenata nakon traumatske ozljede mozga. U rad su uključeni inicijalni CT nalazi koji u
dimenziji vremena korespondiraju ranim traumatskim ozljedama mozga. CT nalazi su
prikazani kroz kategorije Marshallove klasifikacije. Od kliničkih parametra smo uključili
Glasgowsku ljestvicu kome prikupljenu za vrijeme prijama u bolnicu, eventualne pupilarne
defekte i ekstakranijalne komplikacije evidentirane monitoringom tijekom intezivističkog
lječenja. UtvrĎujemo da preteţno muški spol podlijeţe traumatskoj ozljedi mozga, u našoj
seriji čak 80.2%. Obzirom na dobnu raspodijelu, nema dobne skupine koja ne biljeţi
traumatsku ozljedu mozga. Iz kliničkih podataka rekonstruira se mehanizam traume i korelira s dobi. Prema mehanizmu neurotraume najčešći uzrok bio je pad (67.8%), zatim udarac u
glavu, pješaci oboreni autom, vozači motocikla i osobnih automobila. Kategorija pada i
pješaka oborenih autom sačinjavaju po dobnoj strukturi starije osobe, dok vozači motocikla i
osobnih automobila sačinjavaju mlaĎe osobe. Od 111 pacijenata, 68% je imalo traumatsku
frakturu, dok je pojavnost intrakranijalnog krvarenja bila 77.47%, od kojih su samo 14.4%
imali hernijacije. Prema Marshallovoj klasifikaciji u naših ispitanika najčešća je bila difuzna
ozljeda I (77.4%), a slijedi je evakuirana hemoragija s 14.4%. Laka ozljeda mozga moţe ići s
pridruţenim mass lezijama na inicijalnom CT nalazu, no do detorioracije Glasogowske
ljestvice kome će doći tek u vremenu koji sljedi. Prikazali smo da pupilarni defekti (anizokorične, bilateralno punktiformne ili široke zjelice) u 100 % slučajeva prate
intrakranijalnu hemoragiju. Statističkom analizom Marshallove klasifikacije s χ² testom
utvrdili smo da nije nezavisna u odnosu na Glasogowsku ljestvicu kome.
Abstract (english) The aim of this study is to analyze and compare clinical and neuroradiological
parameters in patients who sustained cranial trauma. We include the initial CT findings that
were presented in the categories of Marshall's classification. Clinical findings consist of
Glasgow Coma Score (GCS) collected during hospital admission, pupillary defects and
extracranial complications recorded during the intensive care monitoring. Demographic
characteristics of patients show male predomination in traumatic brain injury (80.2.
According to the mechanism of trauma most people fell down (67.8%), others had mechanical
cranial impact, were pedestrians knocked down by a car, or were injured as drivers of
motorcycles and cars. Falls and pedestrians (victims of car accidents) affected older people,
while high speeds and traffic accidents tend to affect young people. Of the 111 patients up to
68% has traumatic fracture, 77.5% had intracranial bleeding, while herniation was present in 14.4% of patients. According to Marshall's classification in our series the most common is
diffuse injury I in 77.4%, followed by surgical evaluated hemorrhage in 14.4% patients.
Minor brain injury can go with the associated mass lesions on the initial CT findings, but the
deterioration of the GCS will come in time that follows. Minor brain injury can have a mass
lesion. We demonstrated that pupillary defect (anisocory, bilateral punctiform or dilated
pupils) in 100% of cases had intracranial hemorrhage. Statistic analyzes of the CT findings to
the classification criteria of Marshall and GSC score the χ² test determines that variables are
not independent.
Keywords
kompjutorizirana tomografija mozga
traumatska ozljeda mozga
Marshallova klasifikacija
Glasgowska ljestvica kome
pupilarni defekti
Keywords (english)
computed tomography of the brain
traumatic brain injury
Marshall's classification
Glasgow Coma Scale
pupillary defects
Language croatian
URN:NBN urn:nbn:hr:184:932570
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2016-10-27 07:12:26