Hypodense area wit
Hypodense area within epidural hematoma in brain CT scan; Prediction of active bleeding in epidural hematoma
Mahboub Pouraghaei1, Payman Moharamzadeh1, Sima Dibazar2, Ali Taghizadieh1, Alireza Ala1, Parham Maroufi3, Reza Rikhtegar Ghiasi4
1- Department of Emergency Medicine, Faculty of Medicine, Tabriz University of medical sciences, Tabriz, Iran
2- General Medicine, Faculty of Medicine, Tabriz University of medical sciences, Tabriz, Iran.
3- Department of Orthopedic, Faculty of Medicine, Tabriz University of medical sciences, Tabriz, Iran.
4- Neuroscience research center (NSRC), Department of Neurology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran. [email protected]
Abstract: Background: One of the most important factors in management of patients with epidural hematoma is the existence of hypodense area within the hematoma (SWIRL sign) in brain CT scan. This finding can be the sign of active bleeding and developing the hematoma. Purpose: Study the value of brain CT scan of the patients with epidural hematoma in order to predict the possibility of expansion of the hematoma because of active bleeding. Method: 49 patients with traumatic epidural hematoma entered the study and divided in to 2 groups. Group A was those with epidural hematoma who had indications for immediate craniotomy such as significant midline shift, large size of hematoma, epidural hematoma due to hydrocephalus and etc, and group B was that small or moderate size of epidural hematomas that were kept under close observation without surgery.
[Pouraghaei M, Moharamzadeh P, Dibazar S, Taghizadieh A, Ala A, Maroufi P, Rikhtegar Ghiasi R. Hypodense area within epidural hematoma in brain CT scan; Prediction of active bleeding in epidural hematoma. Life Sci J 2013;10(1):220-222] (ISSN:1097-8135). http://www.lifesciencesite.com. 33
Keywords: Hypodense Area; Epidural Hematoma; Brain CT Scan
