Uscanga CMC, Castillo LJA, Arroyo MG

Language: Spanish
References: 17
Page: 11-19
PDF size: 559.68 Kb.

ABSTRACT

Background. In Mexico, the cranial trauma is the cause number four of death after chronic-degenerative, cardiac and cancer diseases. It's very common to find brain swelling in patients with cranial trauma.
Objective. To establish a quantification of cerebral edema in patients with cranial trauma and its correlation with the clinical evolution.
Method. The thesis is based on a descriptive, longitudinal and prospective study performed between September 2003 and may 2004. TC study was applied to 21 healthy patients between 15-40 years old and a group of 35 patients between 15-45 years old, who arrived to the urgency department in the Hospital Central Militar affected by cranial trauma. One-way variance tool was used to develop the statistic analysis.
Results. Average age of 25 years old was the result of a group of 35 patients in the age range previously mentioned. The most relevant results of the analysis are as follows:
• These injuries occur more in male (71%) and the complement with the female group.
• Group of military men in service represents the highest number of patients with cranial trauma (57%).
• Car accidents represent the highest cause of the trauma.
• Quantification by TC establishes light brain swelling (17-22 points), Quantification by TC establishes moderated brain swelling (13-16 points) and quantification by TC establishes critical brain swelling (< 12 points).
• Most frequent finding using TC was parenchymal haematoma (28%).
Conclusions. Findings using TC are related to the clinical evolution. Quantification by TC establishes light brain swelling (17-22 points), quantification by TC establish moderated brain swelling (13-16 points) and Quantification by TC establishes critical brain swelling (< 12 points).

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