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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.

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