Study of computed tomography perfusion in traumatic cerebral contusion

Study of computed tomography perfusion (CTP) in traumatic cerebral contusion Head injury is listed as the sm principle cause of death in Ministry of Health (MOH) hospitals with percentage of 6.07% (Health Statistics MOH, 2004). The prevalence rate of cerebral contusion was recorded as 15.0%(Winter...

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Main Author: Ahmad Helmy, Abdul Karim
Format: Thesis
Language:English
Published: 2009
Subjects:
Online Access:http://eprints.usm.my/53865/1/DR%20AHMAD%20HELMY%20BIN%20ABDUL%20KARIM%20-%2024%20pages.pdf
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author Ahmad Helmy, Abdul Karim
author_facet Ahmad Helmy, Abdul Karim
author_sort Ahmad Helmy, Abdul Karim
collection USM
description Study of computed tomography perfusion (CTP) in traumatic cerebral contusion Head injury is listed as the sm principle cause of death in Ministry of Health (MOH) hospitals with percentage of 6.07% (Health Statistics MOH, 2004). The prevalence rate of cerebral contusion was recorded as 15.0%(Wintermark et al., 2004). Non-enhanced CT (NECT) brain is a sensitive primary diagnostic tool in the evaluation of patients with head injury. On NECT brain, pericontusional hypodensity area represents oedema. However, its perfusion disturbance could not be determined from plain CT scan. CTP provides information regarding ischaemic injuries related to the trauma and able to determine any evidence of pericontusional ischaemia. Reduction of perfusion can lead to unfavourable outcome. This study aims to determine perfusion status of pericontusional hypodensity area and correlation with clinical outcome. Ten patients involved in motor vehicle accidents (MV A) fulfilled the inclusion and exclusion criterias and hence enrolled in this study from July 2007 to November 2008 .. NECT scan of the brain was done on admission to confirm presence of contusion and followed by CTP. The data were analyzed at the CT workstation. Pericontusion areas were divided into four sections in relation to distance from the skull. Distance and size of contusion were measured from NECT scan. The region of interest were drawn based on hypodensity and CTP colour map. Each parameters of perfusion were produced by the perfusion software and were analyzed. CTP results were categorized as normal, ischaemia or infarct Clinical outcome was evaluated using GOS after 6 weeks post trauma.
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spelling usm.eprints-538652022-08-07T07:50:26Z http://eprints.usm.my/53865/ Study of computed tomography perfusion in traumatic cerebral contusion Ahmad Helmy, Abdul Karim R Medicine (General) Study of computed tomography perfusion (CTP) in traumatic cerebral contusion Head injury is listed as the sm principle cause of death in Ministry of Health (MOH) hospitals with percentage of 6.07% (Health Statistics MOH, 2004). The prevalence rate of cerebral contusion was recorded as 15.0%(Wintermark et al., 2004). Non-enhanced CT (NECT) brain is a sensitive primary diagnostic tool in the evaluation of patients with head injury. On NECT brain, pericontusional hypodensity area represents oedema. However, its perfusion disturbance could not be determined from plain CT scan. CTP provides information regarding ischaemic injuries related to the trauma and able to determine any evidence of pericontusional ischaemia. Reduction of perfusion can lead to unfavourable outcome. This study aims to determine perfusion status of pericontusional hypodensity area and correlation with clinical outcome. Ten patients involved in motor vehicle accidents (MV A) fulfilled the inclusion and exclusion criterias and hence enrolled in this study from July 2007 to November 2008 .. NECT scan of the brain was done on admission to confirm presence of contusion and followed by CTP. The data were analyzed at the CT workstation. Pericontusion areas were divided into four sections in relation to distance from the skull. Distance and size of contusion were measured from NECT scan. The region of interest were drawn based on hypodensity and CTP colour map. Each parameters of perfusion were produced by the perfusion software and were analyzed. CTP results were categorized as normal, ischaemia or infarct Clinical outcome was evaluated using GOS after 6 weeks post trauma. 2009 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/53865/1/DR%20AHMAD%20HELMY%20BIN%20ABDUL%20KARIM%20-%2024%20pages.pdf Ahmad Helmy, Abdul Karim (2009) Study of computed tomography perfusion in traumatic cerebral contusion. Masters thesis, Pusat Pengajian Sains Perubatan.
spellingShingle R Medicine (General)
Ahmad Helmy, Abdul Karim
Study of computed tomography perfusion in traumatic cerebral contusion
title Study of computed tomography perfusion in traumatic cerebral contusion
title_full Study of computed tomography perfusion in traumatic cerebral contusion
title_fullStr Study of computed tomography perfusion in traumatic cerebral contusion
title_full_unstemmed Study of computed tomography perfusion in traumatic cerebral contusion
title_short Study of computed tomography perfusion in traumatic cerebral contusion
title_sort study of computed tomography perfusion in traumatic cerebral contusion
topic R Medicine (General)
url http://eprints.usm.my/53865/1/DR%20AHMAD%20HELMY%20BIN%20ABDUL%20KARIM%20-%2024%20pages.pdf
work_keys_str_mv AT ahmadhelmyabdulkarim studyofcomputedtomographyperfusionintraumaticcerebralcontusion