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Journal of Korean Neurosurgical Society 1981;10(2): 487-494.
Analysis of CT Finding of Head Injury.
Whan Eo, Bo Sung Sim
Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea.
ABSTRACT
The computed tomographic scan has revolutionized the management of head trauma and has been established as an accurate diagnostic modality. The computed tomography was performed in 308 head injured patients and those findings were retrospectively analyzed. A wide spectrum of traumatic abnormalities was demonstrated by computed tomography. Seventy-six percent of patients had abnormal scans. The yield of abnormal scans varied with Glasgow coma scale at the time of scan:GCS 15-13, 66%:GCS 12-9, 91%:GCS 8-6, 94:GCS 5-3, 100%. Not significant correlation was found between the score of GCS and the extent of the midline shifting on the CT scan(P>0.05). Acute subdural hematoma and intracerebral hematoma were commonly associated with the other lesions, and over 2/3 of intraecrebral hematoma combined acute subdural hematoma.
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