Неврологические расстройства

Prevalence of Traumatic Brain Hemorrhages in Brain Death Patients

Abstract

Parvaneh Hassani*, Ziya Oddin Ahmadi, Shadi Halimi, Mehdi Abbasi, Sajad Besharati, Ali Sarreshtehdari, Mehran Shafiee and Rahele Khademi

Background: Given the severity of the brain death burden and its main cause in emergency clinical settings, intracerebral hemorrhage due to concussion, determining the most common type of hemorrhage among these patients, helps us to predict the likelihood of progression of the vegetative outcome.

Purpose: This study aimed to assess the prevalence of different types of intracranial hemorrhage in patients with brain death.

Material and methods: 70 head traumatic brain dead patients who were referred to Masih Daneshvari hospital undergone assessment by CT scan to determine the prevalence of major intracranial hemorrhage types and their complications.

Results: Subarachnoid hemorrhage (SAH) and subarachnoid hemorrhage (SDH) are the most common types of intracranial hemorrhage among patients with brain death. Overall, 45.7% and 40%, respectively, were associated with bleeding events with a change in the midline at 14.3% and edema at 12.9%. The middle shift was more common in SAH patients, while edema was more common in SDH patients. Each relative to the other.

Conclusion: This study showed that SAH and SDH are the most common types of intracranial hemorrhage in patients with traumatic brain injury.