2018 AANS Annual Scientific Meeting-573. CT evidence of brainstem hemorrhage does not lead to worsened long term outcomes in severe traumatic brain injury

573. CT evidence of brainstem hemorrhage does not lead to worsened long term outcomes in severe traumatic brain injury

Video Transcription

Video Summary

In this video, Ross Puffer, a resident at Mayo, presents a study on CT evidence of brainstem hemorrhage and its relationship to outcomes in traumatic brain injury (TBI) patients. The study aimed to compare the outcomes of severe TBI patients with and without brainstem hemorrhage detected on CT scans. The study utilized the BTRC database, reviewing data from 1991 to 2007. The results showed that patients with brainstem hemorrhage had a slightly lower Glasgow outcome scale (GOS) score compared to those without, but the difference was not statistically significant. The study highlights that evidence of brainstem hemorrhage does not necessarily indicate a worsened long-term outcome. However, a high percentage of TBI patients with brainstem hemorrhage may still die. The study's limitations include the use of GOS as the primary outcome measure and the potential impact of improvements in TBI care over time.

Asset Caption

Ross C. Puffer, MD

Keywords

CT evidence

brainstem hemorrhage

outcomes

traumatic brain injury

TBI patients