MULTISLICE COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIXED TRAUMATIC BRAIN INJURY
Objective: to study changes in the cross sectional optic nerve diameter (OND), by using multislice computed tomography (MSCT), in patients with mild traumatic brain injury (TBI), as well as those with severe (including mixed) TBI before and after craniotomy; to assess whether this technique can be...
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| Format: | Article |
| Language: | English |
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Luchevaya Diagnostika, LLC
2018-07-01
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| Series: | Вестник рентгенологии и радиологии |
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| Online Access: | https://www.russianradiology.ru/jour/article/view/351 |
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| author | A. V. Semenov N. V. Monakov E. I. Balkhanova A. A. Raznobarskiy T. A. Mamonova |
| author_facet | A. V. Semenov N. V. Monakov E. I. Balkhanova A. A. Raznobarskiy T. A. Mamonova |
| author_sort | A. V. Semenov |
| collection | DOAJ |
| description | Objective: to study changes in the cross sectional optic nerve diameter (OND), by using multislice computed tomography (MSCT), in patients with mild traumatic brain injury (TBI), as well as those with severe (including mixed) TBI before and after craniotomy; to assess whether this technique can be integrated with a whole-body MSCT protocol in severe mixed TBI (MTBI).Material and methods. OND was retrospectively studied in two selected groups of patients with injuries (a total of 51 patients): Group 1 (n = 40) included 2 subgroups (n = 20 in each) with mild TBI or severe MTBI; Group 2 (n = 11) comprised 2 subgroups with severe TBI who had undergone decompressive (n = 6) or osteoplastic (n = 5) craniotomy with subsequent OND measurement after 12–18 hours. Results. Primary brain MSCT showed that the average OND was 6.12±1,01 mm in severe MTBI and 4.4±0.19 mm in mild TBI (Student’s t = 5.707). After decompressive craniotomy, there was a decrease in OND from 6.26±0.27 to 5.38±0.22 mm (Student’s t = 2.486).Conclusion. Among the patients with severe MTBI, the OND at primary MSCT is significantly greater than that in patients with mild TBI, which may be due to elevated intracranial pressure, as shown by the literature data. There is a statistically significant decrease in OND after decompressive craniotomy and removal of the brain compressive factor. Whole-body MSCT revealed no technical obstacles to the application of an OND measurement technique. |
| first_indexed | 2024-03-08T10:21:40Z |
| format | Article |
| id | doaj.art-72a030bded2e48afb7079af1e664a01b |
| institution | Directory Open Access Journal |
| issn | 0042-4676 2619-0478 |
| language | English |
| last_indexed | 2024-03-08T10:21:40Z |
| publishDate | 2018-07-01 |
| publisher | Luchevaya Diagnostika, LLC |
| record_format | Article |
| series | Вестник рентгенологии и радиологии |
| spelling | doaj.art-72a030bded2e48afb7079af1e664a01b2024-01-27T18:38:35ZengLuchevaya Diagnostika, LLCВестник рентгенологии и радиологии0042-46762619-04782018-07-0199311912410.20862/0042-4676-2018-99-3-119-124234MULTISLICE COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIXED TRAUMATIC BRAIN INJURYA. V. Semenov0N. V. Monakov1E. I. Balkhanova2A. A. Raznobarskiy3T. A. Mamonova4Irkutsk State Medical Academy of Postgraduate Education – Branch of Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation Irkutsk City Clinical Hospital № 3Irkutsk City Clinical Hospital № 3Irkutsk City Clinical Hospital № 3Irkutsk City Clinical Hospital № 3Irkutsk City Clinical Hospital № 3Objective: to study changes in the cross sectional optic nerve diameter (OND), by using multislice computed tomography (MSCT), in patients with mild traumatic brain injury (TBI), as well as those with severe (including mixed) TBI before and after craniotomy; to assess whether this technique can be integrated with a whole-body MSCT protocol in severe mixed TBI (MTBI).Material and methods. OND was retrospectively studied in two selected groups of patients with injuries (a total of 51 patients): Group 1 (n = 40) included 2 subgroups (n = 20 in each) with mild TBI or severe MTBI; Group 2 (n = 11) comprised 2 subgroups with severe TBI who had undergone decompressive (n = 6) or osteoplastic (n = 5) craniotomy with subsequent OND measurement after 12–18 hours. Results. Primary brain MSCT showed that the average OND was 6.12±1,01 mm in severe MTBI and 4.4±0.19 mm in mild TBI (Student’s t = 5.707). After decompressive craniotomy, there was a decrease in OND from 6.26±0.27 to 5.38±0.22 mm (Student’s t = 2.486).Conclusion. Among the patients with severe MTBI, the OND at primary MSCT is significantly greater than that in patients with mild TBI, which may be due to elevated intracranial pressure, as shown by the literature data. There is a statistically significant decrease in OND after decompressive craniotomy and removal of the brain compressive factor. Whole-body MSCT revealed no technical obstacles to the application of an OND measurement technique.https://www.russianradiology.ru/jour/article/view/351multislice computed tomographyoptic nerve diametermixed traumatic brain injuryintracranial pressure |
| spellingShingle | A. V. Semenov N. V. Monakov E. I. Balkhanova A. A. Raznobarskiy T. A. Mamonova MULTISLICE COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIXED TRAUMATIC BRAIN INJURY Вестник рентгенологии и радиологии multislice computed tomography optic nerve diameter mixed traumatic brain injury intracranial pressure |
| title | MULTISLICE COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIXED TRAUMATIC BRAIN INJURY |
| title_full | MULTISLICE COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIXED TRAUMATIC BRAIN INJURY |
| title_fullStr | MULTISLICE COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIXED TRAUMATIC BRAIN INJURY |
| title_full_unstemmed | MULTISLICE COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIXED TRAUMATIC BRAIN INJURY |
| title_short | MULTISLICE COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF MIXED TRAUMATIC BRAIN INJURY |
| title_sort | multislice computed tomography in the diagnosis of mixed traumatic brain injury |
| topic | multislice computed tomography optic nerve diameter mixed traumatic brain injury intracranial pressure |
| url | https://www.russianradiology.ru/jour/article/view/351 |
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