Córdova-Chávez NA, Onofre-Castillo JJ, Santana-Vela IA, Valdés-Martínez FJ

Language: Spanish
References: 23
Page: 146-153
PDF size: 369.09 Kb.

ABSTRACT

Background: Cranioencephalic trauma is a common condition which can be devastating. The global annual incidence is approximately 10 million deaths or hospitalizations. Cranioencephalic trauma is one of the leading causes of death in patients between 15 and 40 years of age in the industrialized countries and occurs with the same frequency in both genders.
Objective: Correlate the severity of findings seen by diffusion sequences and the percentage of apparent diffusion coefficient maps in diffuse axonal damage with scores on the Glasgow coma scale.
Material and method: An observational, descriptive, transversal, ambilective study. Simple brain magnetic resonances were studied, from January 2011 through October 2014, of patients with diagnosis of severe cranioencephalic trauma and diffuse axonal injury. The diffusion sequence was analyzed jointly with the maps of apparent diffusion coefficient and was compared with the Glasgow coma scale as reported in the emergency room note.
Results: Fourteen patients were registered and a Pearson correlation test was performed taking the apparent diffusion coefficients and the Glasgow coma scale. An r = 0.587 was obtained, which indicates that there is no linear correlation between the two groups of data.
Conclusions: The percentage of the apparent diffusion coefficient cannot be used as a predictive factor of severity of diffuse axonal injury in patients with severe cranioencephalic trauma.

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