J Korean Neurosurg Soc.  1998 Nov;27(11):1490-1499.

A Clinical Analysis of Delayed Traumatic Intracerebral Hemorrhage

• Rim BC
• Kim ED
• Min KS
• Lee MS
• Kim DH

Abstract

The occurrence of delayed intracerebral hemorrhage is more frequent than previously reported and is associated with a poor outcome. Early detection and proper management is important in that aspect. The progression tends to be insidious. When the patient's consciousness gets worse or is not improving within resonable time, the second CT scan should be performed. In a retrospective study of 211 consecutive patients with traumatic intracranial hematomas, we identified 12 cases(5.6%) with delayed traumatic intracerebral hemorrhage(DTICH). Among these, five(41.6%) died of DTICH. Cerebral contusion on initial CT, acceleration-deceleration injury with rotational forces, surgical decompression would be important contributors in the development of DTICH.

Keyword

Delayed intracerebral hemorrhage(DTICH); Brain CT; Brain damage; Head injury

MeSH Terms

Cerebral Hemorrhage
Cerebral Hemorrhage, Traumatic*
Consciousness
Contusions
Craniocerebral Trauma
Decompression, Surgical
Humans
Intracranial Hemorrhage, Traumatic
Retrospective Studies
Tomography, X-Ray Computed