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Research ArticleBrainF

Contrast Extravasation on CT Angiography Predicts Hematoma Expansion and Mortality in Acute Traumatic Subdural Hemorrhage

J.M. Romero, H.R. Kelly, J.E. Delgado Almandoz, J. Hernandez-Siman, J.C. Passanese, M.H. Lev and R.G. González
American Journal of Neuroradiology August 2013, 34 (8) 1528-1534; DOI: https://doi.org/10.3174/ajnr.A3434
J.M. Romero
aFrom the Division of Neuroradiology (J.M.R., H.R.K., J.H.-S., M.H.L., R.G.G.), Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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H.R. Kelly
aFrom the Division of Neuroradiology (J.M.R., H.R.K., J.H.-S., M.H.L., R.G.G.), Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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J.E. Delgado Almandoz
bInterventional Neuroradiology (J.E.D.A.), Abbott Northwestern Hospital Minneapolis, Minnesota.
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J. Hernandez-Siman
aFrom the Division of Neuroradiology (J.M.R., H.R.K., J.H.-S., M.H.L., R.G.G.), Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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J.C. Passanese
aFrom the Division of Neuroradiology (J.M.R., H.R.K., J.H.-S., M.H.L., R.G.G.), Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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M.H. Lev
aFrom the Division of Neuroradiology (J.M.R., H.R.K., J.H.-S., M.H.L., R.G.G.), Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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R.G. González
aFrom the Division of Neuroradiology (J.M.R., H.R.K., J.H.-S., M.H.L., R.G.G.), Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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REFERENCES

  1. 1.↵
    1. Gennarelli TA,
    2. Spielman GM,
    3. Langfitt TW,
    4. et al
    . Influence of the type of intracranial lesion on outcome from severe head injury. J Neurosurg 1982;56:26–32
    PubMedWeb of Science
  2. 2.↵
    1. Kotwica Z,
    2. Brzezinski J
    . Acute subdural haematoma in adults: an analysis of outcome in comatose patients. Acta Neurochir (Wien) 1993;121:95–99
    CrossRefPubMed
  3. 3.↵
    1. Lobato RD,
    2. Cordobes F,
    3. Rivas JJ,
    4. et al
    . Outcome from severe head injury related to the type of intracranial lesion: a computerized tomography study. J Neurosurg 1983;59:762–74
    PubMedWeb of Science
  4. 4.↵
    1. Seelig JM,
    2. Becker DP,
    3. Miller JD,
    4. et al
    . Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. N Engl J Med 1981;304:1511–18
    CrossRefPubMedWeb of Science
  5. 5.↵
    1. Massaro F,
    2. Lanotte M,
    3. Faccani G,
    4. et al
    . One hundred and twenty-seven cases of acute subdural haematoma operated on: correlation between CT scan findings and outcome. Acta Neurochir (Wien) 1996;138:185–91
    CrossRefPubMed
  6. 6.↵
    1. Haselsberger K,
    2. Pucher R,
    3. Auer LM
    . Prognosis after acute subdural or epidural haemorrhage. Acta Neurochir (Wien) 1988;90:111–16
    CrossRefPubMed
  7. 7.↵
    1. Zumkeller M,
    2. Behrmann R,
    3. Heissler HE,
    4. et al
    . Computed tomographic criteria and survival rate for patients with acute subdural hematoma. Neurosurgery 1996;39:708–12
    CrossRefPubMedWeb of Science
  8. 8.↵
    1. Bullock MR,
    2. Chesnut R,
    3. Ghajar J,
    4. et al
    . Surgical management of acute subdural hematomas. Neurosurgery 2006;58:S16–S24
    PubMed
  9. 9.↵
    1. Delgado Almandoz JE,
    2. Yoo AJ,
    3. Stone MJ,
    4. et al
    . Systematic characterization of the computed tomography angiography spot sign in primary intracerebral hemorrhage identifies patients at highest risk for hematoma expansion: the spot sign score. Stroke 2009;40:2994–3000
    Abstract/FREE Full Text
  10. 10.↵
    1. Wada R,
    2. Aviv RI,
    3. Fox AJ,
    4. et al
    . CT angiography “spot sign” predicts hematoma expansion in acute intracerebral hemorrhage. Stroke 2007;38:1257–62
    Abstract/FREE Full Text
  11. 11.↵
    1. Delgado Almandoz JE,
    2. Yoo AJ,
    3. Stone MJ,
    4. et al
    . The spot sign score in primary intracerebral hemorrhage identifies patients at highest risk of in-hospital mortality and poor outcome among survivors. Stroke 2010;41:54–60
    Abstract/FREE Full Text
  12. 12.↵
    1. Goldstein JN,
    2. Fazen LE,
    3. Snider R,
    4. et al
    . Contrast extravasation on CT angiography predicts hematoma expansion in intracerebral hemorrhage. Neurology 2007;68:889–94
    CrossRef
  13. 13.↵
    1. Becker KJ,
    2. Baxter AB,
    3. Bybee HM,
    4. et al
    . Extravasation of radiographic contrast is an independent predictor of death in primary intracerebral hemorrhage. Stroke 1999;30:2025–32
    Abstract/FREE Full Text
  14. 14.↵
    1. Kim J,
    2. Smith A,
    3. Hemphill JC 3rd.,
    4. et al
    . Contrast extravasation on CT predicts mortality in primary intracerebral hemorrhage. AJNR Am J Neuroradiol 2008;29:520–25
    Abstract/FREE Full Text
  15. 15.↵
    1. Park SY,
    2. Kong MH,
    3. Kim JH,
    4. et al
    . Role of ‘spot sign’ on CT angiography to predict hematoma expansion in spontaneous intracerebral hemorrhage. J Korean Neurosurg Soc 2010;48:399–405
    CrossRefPubMed
  16. 16.↵
    1. Biffl WL,
    2. Moore EE,
    3. Offner PJ,
    4. et al
    . Optimizing screening for blunt cerebrovascular injuries. Am J Surg 1999;178:517–22
    CrossRefPubMedWeb of Science
  17. 17.↵
    1. Prionas ND,
    2. Ray S,
    3. Boone JM
    . Volume assessment accuracy in computed tomography: a phantom study. J Appl Clin Med Phys 2010;11:3037
    PubMed
  18. 18.↵
    1. Coronado VG,
    2. Xu L,
    3. Basavaraju SV,
    4. et al
    . Surveillance for traumatic brain injury-related deaths—United States, 1997–2007. In: Centers for Disease Control and Prevention, MMWR Surveill Summ 2011 May 6;60:1–32
    PubMed
  19. 19.↵
    1. Servadei F,
    2. Nasi MT,
    3. Giuliani G,
    4. et al
    . CT prognostic factors in acute subdural haematomas: the value of the ‘worst’ CT scan. Br J Neurosurg 2000;14:110–16
    CrossRefPubMedWeb of Science
  20. 20.↵
    1. Howard MA 3rd.,
    2. Gross AS,
    3. Dacey RG Jr.,
    4. et al
    . Acute subdural hematomas: an age-dependent clinical entity. J Neurosurg 1989;71:858–63
    PubMedWeb of Science
  21. 21.↵
    1. Gazzola S,
    2. Aviv RI,
    3. Gladstone DJ,
    4. et al
    . Vascular and nonvascular mimics of the CT angiography “spot sign” in patients with secondary intracerebral hemorrhage. Stroke 2008;39:1177–83
    Abstract/FREE Full Text
  22. 22.↵
    1. Wong GK,
    2. Tang BY,
    3. Yeung JH,
    4. et al
    . Traumatic intracerebral haemorrhage: is the CT pattern related to outcome? Br J Neurosurg 2009;23:601–05
    CrossRefPubMed
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American Journal of Neuroradiology: 34 (8)
American Journal of Neuroradiology
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Cite this article
J.M. Romero, H.R. Kelly, J.E. Delgado Almandoz, J. Hernandez-Siman, J.C. Passanese, M.H. Lev, R.G. González
Contrast Extravasation on CT Angiography Predicts Hematoma Expansion and Mortality in Acute Traumatic Subdural Hemorrhage
American Journal of Neuroradiology Aug 2013, 34 (8) 1528-1534; DOI: 10.3174/ajnr.A3434

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Contrast Extravasation on CT Angiography Predicts Hematoma Expansion and Mortality in Acute Traumatic Subdural Hemorrhage
J.M. Romero, H.R. Kelly, J.E. Delgado Almandoz, J. Hernandez-Siman, J.C. Passanese, M.H. Lev, R.G. González
American Journal of Neuroradiology Aug 2013, 34 (8) 1528-1534; DOI: 10.3174/ajnr.A3434
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