Delayed parenchymal hemorrhagic brain injuries in the acute period of traumatic brain injury: risk factors for development
https://doi.org/10.56618/2071-2693_2024_16_4_38
EDN: BPTFTV
Abstract
INTRODUCTION. The study is devoted to the search for possible risk factors for the development of delayed parenchymal hemorrhagic brain injuries (OPGPHM) in the acute period of traumatic brain injury (TBI), which combine delayed intracerebral hematomas and progressive foci of brain injury. This pathology is characterized by a high incidence, difficulty in treatment and high mortality.
AIM. To study the probable prognostic criteria for the development of OCD in the acute period of TBI.
RESULTS. A number of predictors of the development of OCD have been verified: 1) thrombocytopenia; 2) combined TBI (traumatic shock, blood loss); 3) extracranial complications (thrombotic complications); 4) chronic concomitant diseases (diseases of the cardiovascular system); 5) neuroimaging patterns (transformation of ischemic foci into hemorrhagic; formation of local edema with displacement of the median structures ipsilateral to the injury site; pronounced edema – swelling of the brain; damage to the diencephalic zone).
CONCLUSION. It seems advisable to take into account these risk factors for the development of delayed parenchymal hemorrhagic brain injuries in the management of patients in the acute period with severe traumatic brain injury.
About the Authors
A. A. Pyak
N. P. Behtereva Institute of the Human Brain
Russian Federation
Russian Federation
Alexander A. Pyak – Postgraduate Student
9 Akademika Pavlova street, St. Petersburg, Russian Federation, 197022
A. I. Kholyavin
N. P. Behtereva Institute of the Human Brain
Russian Federation
Russian Federation
Andrey I. Kholyavin – Dr. of Sci. (Med.), Associate Professor, Head at the Laboratory of Stereotactic Methods
9 Akademika Pavlova street, St. Petersburg, Russian Federation, 197022
References
1. Lebedev V. V., Krylov V. V. Urgent Neurosurgery: Manual for Physicians. Moscow: Meditsina Publishers; 2000. 568 р. (In Russ.).
2. Pyak A. A., Kholyavin A. I. Delayed parenchymal hemorrhagic brain injuries in the acute period of TBI: Etiopathogenetic aspects. Literature review. Vestnik nevrologii, psikhiatrii i neirokhirurgii. 2023;(5):336–346. (In Russ.). Doi: 10.33920/med-01-2305-05. EDN: QTYZWE.
3. Krylov V. V., Ioffe Y. S., Talypov A. E., Golovko S. M. Some indicators of the provision of neurosurgical care to patients with traumatic brain injury in hospitals of the Moscow Department of Health (part 1). Neirokhirurgiya. 2008;(2):54–59. (In Russ.). EDN: JWVPMZ.
4. Servadei F., Murray G. D., Penny K. The value of the “worst” computed tomographic scan in clinical studies of moderate and severe head injury. European Brain Injury Consortium. Neurosurgery. 2000;46(1):70–75. Doi: 10.1093/neurosurgery/46.1.70.
5. Pyak A. A., Xolyavin A. I. Delayed parenchymal hemorrhagic brain injuries in the acute period of traumatic brain injury: features of the clinical course and therapeutic tactics. Russian neurosurgical journal named after professor A. L. Polenov. 2022;14(1-2):90–94. (In Russ.). EDN: VUZFOD.
6. Gudeman S. K., Kishore P. R., Miller J. D. et al. The genesis and significance of delayed traumatic intracerebral hematoma. Neurosurgery. 1979;5(3):309–313. Doi: 10.1227/00006123-197909000-00002.
7. Alahmadi H., Vachhrajani S., Cusimano M. D. The natural history of brain contusion: an analysis of radiological and clinical progression. J. Neurosurg. 2010;112(5):1142. Doi: 10.3171/2009.5.jns081369.
8. Chieregato A., Fainardi E., Morselli-Labate A. M. et al. Factors associated with neurological outcome and lesion progression in traumatic subarachnoid hemorrhage patients. Neurosurgery. 2005;56(4):671–680. Doi: 10.1227/01.neu.0000156200.76331.7a.
9. Kravets L. Ya., Smirnov P. V., Kukarin A. B. The choice of treatment method for brain injuries. Neirokhirurgiya. 2017;(1):12. (In Russ.). EDN: XCTNJR.
10. Kroppenstedt S. N., Kern M., Thomale U. W. et al. Effect of cerebral perfusion pressure on contusion volume following impact injury. J. Neurosurg. 1999;90(3):520–526. Doi: 10.3171/jns.1999.90.3.0520.
11. Oertel M., Kelly D. F., Mcarthur D.Progressive hemorrhage after head trauma: predictors and consequence of the evolving injury. J. Neurosurg. 2002;96(1): 109–116. Doi: 10.3171/jns.2002.96.1.0109.
12. Semenov A. V., Krylov V. V., Sorokovikov V. A. Risk factors for the formation of surgically significant delayed traumatic intracerebral hematomas in combined trauma. Politravma/POLYTRAUMA. 2019;(2): 40–47. (In Russ.). Available from: https://cyberleninka.ru/article/n/o-faktorah-riska-obrazovaniya-hirurgicheski-znachimyh-otsrochennyh-travmaticheskih-vnutricherepnyh-gematom-pri-sochetannoy-travme [Accessed 22 September 2024].
13. Sawada Y., Sadamitsu D., Sakamoto T., Ikemura K., Yoshioka T., Sugimoto T. Lack correlation between delayed traumatic intracerebral hematoma and disseminated intravascular coagulation. Journal of Neurology, Neurosurgery, and Psychiatry. 1984;47(10):1125–1127. Doi: 10.1136/jnnp.47.10.1125.
14. Fucamachi A., Nagaseki Y., Kohno K., Wakao T. The Incidence and Developmental Process of Delayed Traumatic Intracerebral Haaematomas. J. Acta Neurochirurgica. 1985;74(1-2):35–39. Doi: 10.1007/bf01413274.
15. Soloniuk M. D., Lawrence H., Pitts M. D., Mary Lovley M. N., Henri B, Zulch K. J. Die traumatische Spatapoplexie. Fortschr. Neurol.Psychiat. 1985. 53(01): 1–12. Doi: 10.1055/s-2007-1001947.
16. Manolio T. A., Olson J., Longstreth W. T. Hypertension and cognitive function: pathophysiologic effects of hypertension on the brain. Curr Hypertens. Rep. 2003;(5): 255–261. Doi: 10.1007/s11906-003-0029-6.
17. Kurland D., Hong B., Aarabi С. et al. Hemorrhagic progression of a contusion after traumatic brain injury: a review. J. Neurotrauma. 2012;1(29):24. Doi: 10.1089/neu.2011.2122.
Review
For citations:
Pyak A.A., Kholyavin A.I. Delayed parenchymal hemorrhagic brain injuries in the acute period of traumatic brain injury: risk factors for development. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2024;16(4):38-46. (In Russ.) https://doi.org/10.56618/2071-2693_2024_16_4_38. EDN: BPTFTV
Views:
46
Email this article 