Ann Rehabil Med.  2023 Jun;47(3):214-221. 10.5535/arm.23008.

Delirium After Traumatic Brain Injury: Prediction by Location and Size of Brain Lesion

• Han SJ
• Suh JH
• Lee JY
• Kim SJ

• KMID: 2543418
• DOI: http://doi.org/10.5535/arm.23008

Abstract

Objective
To examine (1) the location of brain lesion that would predict post-traumatic delirium and (2) the association between volume of brain lesion and occurrence of delirium in patients with traumatic brain injury (TBI).
Methods
A retrospective study was conducted by reviewing medical records of 68 TBI patients, categorized into two groups: the delirious group (n=38) and non-delirious group (n=30). The location and volume of TBI were investigated with the 3D Slicer software.
Results
The TBI region in the delirious group mainly involved the frontal or temporal lobe (p=0.038). All 36 delirious patients had brain injury on the right side (p=0.046). The volume of hemorrhage in the delirious group was larger by about 95 mL compared to the non-delirious group, but this difference was not statistically significant (p=0.382).
Conclusion
Patients with delirium after TBI had significantly different injury site and side, but not lesion size compared to patients without delirium.

Keyword

Traumatic brain injury; Delirium; Hematoma location; Hematoma volume

Figure

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  Fig. 1. (A) Brain hemorrhage after trauma shown in computerized tomography. (B) Traumatic brain injury volume assessment with 3D Slicer.

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