Correlation Between Intracranial Hematoma, Lateral Ventricle Changes and the Initial Glasgow Coma Scale Assessment, Pupil Size, Pupillary Light Reaction in Traumatic Brain Injury
Keywords:
intracranial hematoma, lateral ventricle changes, Glasgow coma scale, pupilAbstract
Objective: To investigate the relationship between intracranial hematoma and lateral ventricle changes to initial Glasgow coma scale (GCS) assessment, pupil size and pupillary response to light in traumatic brain injury patients.
Methods: A retrospective study studying the association in traumatic brain injury patients admitted to Buriram hospital in 2021 underwent initial GCS assessment, pupil size and pupillary response to light with a calculation of intracranial hematoma volume, and changes in the lateral ventricle were obtained by calculating the %lateral ventricle area with data from brain computed tomography.
Results: Of the 246 traumatic brain injuries, 192 were men (78%), and 54 were women (22%). The most common traumatic brain injury age range was 51-60 (22.8%). The most common cause of accidents and classification of brain injuries were motorcycle accidents, 117 cases (47.6%), and subdural hematoma, 228 cases (60.6%), respectively. In assessing traumatic brain injury patients with initial GCS assessment, pupil size and pupillary response to light were statistically related to intracranial hematoma volume and lateral ventricle adaptation (p-value < 0.001).
Conclusion: Intracranial hematoma volume and lateral ventricle changes according to initial GCS assessment, pupil size and pupillary response to light could be guidelines for treating traumatic brain injury patients.
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