Contrecoup Traumatic Intracerebral Hemorrhage: A Geometric Study of the Impact Site and Association with Hemorrhagic Progression.

摘要: Traumatic intracerebral hemorrhage (TICH) represents 13-48% of the lesions after a traumatic brain injury (TBI). The frequency TICH-hemorrhagic progression (TICH-HP) is estimated to be approximately 38-63%. relationship between impact site and TICH location has been described in many autopsy-based series. This association, however, not consistently demonstrated since introduction computed tomography (CT) for studying TBI. study aimed determine association patients with moderate severe We also analyzed associations location, site, production mechanism (coup or contrecoup), hemorrhagic progression. retrospectively records 408 TBI January 2010 November 2014. identified 177 total 369 TICHs. found statistically significant frontal TICHs sites located on anterior area head (OR 5.8, p < 0.001). temporal was significantly associated posterior 4.9, Anterior lateral were at less than 90 degrees (coup) 1.64, p = 0.03) more (contrecoup), respectively. Factors independently TICH-HP obtained through logistic regression included an initial volume <1 cc, cisternal compression, falls, acute subdural hematoma, multiple TICHs, contrecoup site. risk factor