Services on Demand
Journal
Article
Spanish (pdf)
Article in xml format
Article references
Automatic translation
Send this article by e-mailIndicators
Cited by SciELO 
Access statistics
Related links
Similars in
SciELO
Share
Permalink
Revista Ecuatoriana de Neurología
On-line version ISSN 2631-2581Print version ISSN 1019-8113
Abstract
CORONEL-CORONEL, Melissa; VACA-MARIDUENA, Richard; VASQUEZ-CEDENO, Diego and VALVERDE-M, Adrián. Correlation Between Clinical Variables Suggestive Of Intracranial Hypertension And Alterations In Neuroimaging In Traumatic Brain Injury. Rev Ecuat Neurol [online]. 2022, vol.31, n.2, pp.27-30. ISSN 2631-2581. https://doi.org/10.46997/revecuatneurol31200027.
Objective:
To identify the clinical variables related to changes in neuroimaging in patients with traumatic brain injury.
Methods:
Retrospective observational cohort study where patients admitted for TBI to the ICU area of the HLV were included.
Results:
We included a total of 297 subjects. The most common neuroimaging lesion was multiple lesions (35.4%). We found that there is a significant correlation between the presence of lesion in neuroimaging and the presence of fixed pupils at admission (p = <0.001), score ≤ 8 on the Glasgow scale (p = <0.001) and need for orotracheal intubation (p = <0.001). Similarly, the same 3 variables were significant when related to the score ≥ III on the Marshall scale. In the logistic regression model, pupil fixation was the only one that was shown to increase the risk of a score ≥ III on the Marshall scale (OR: 3.50, 95% CI 1.53-7.99).
Conclusion:
The clinical variables: pupil fixation, need for endotracheal intubation and Glasgow ≤ 8 are related to the development and severity of lesion on neuroimaging in patients with TBI.
Keywords : Cranioencephalic traumatism; intracranial hypertension; acute brain injury; traumatic brain injury; neuroimaging; Marshall scale; tomography.
