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Mixed dishomogeneous hemorrhagic brain contusions. Mapping of cerebral blood flow.
Chieregato, A; Fainardi, E; Tanfani, A; Martino, C; Pransani, V; Cocciolo, F; Targa, L; Servadei, F.
Afiliación
  • Chieregato A; Neurorianimazione, Ospedale M. Bufalini, Cesena, Italy. achiere@ausl-cesena.emr.it
Acta Neurochir Suppl ; 86: 333-7, 2003.
Article en En | MEDLINE | ID: mdl-14753463
The aim of the study was to verify whether regional cerebral blood flow (rCBF) was distributed centrifugally in traumatic hemorrhagic contusions with multiple cores within an oedematous area. Seventeen traumatic brain contusions, from 14 patients with severe head injury (GCS < 9), were analyzed during 39 Xenon-enhanced computerized tomography (Xe-CT) studies. The CBF was measured in 3 concentric regions of interest (ROls): the hemorrhagic core, the intracontusional oedematous low density area and a 1 cm rim of pericontusional normal-appearing brain tissue surrounding the contusion. Differences between rCBFs in the three ROIs were found (p < 0.0001). rCBF in both the hemorrhagic core (21.4 +/- 19.4 ml/ 100gr/min) and the intracontusional low density area (28.4 +/- 19 ml/100gr/min) were lower than rCBF in pericontusional normal-appearing area (41.9 +/- 16 ml/100gr/min) (p < 0.0001). No significant differences were found between rCBF measured in the hemorrhagic core and intracontusional low density area (p = 0.184). Our study suggests that in the mixed density contusions with multiple hemorrhagic cores, the CBF is concentrically distributed, improving from the core to the periphery.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Encéfalo / Tomografía Computarizada por Rayos X / Circulación Cerebrovascular / Hemorragia Encefálica Traumática Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Acta Neurochir Suppl Año: 2003 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Austria
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Encéfalo / Tomografía Computarizada por Rayos X / Circulación Cerebrovascular / Hemorragia Encefálica Traumática Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Acta Neurochir Suppl Año: 2003 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Austria