Intracerebral hemorrhage or contusion occurs in up to 15% of the patients with traumatic brain injury (TBI).1 Among them, bifrontal contusions are common and frequently seen.2 Patients with bifrontal contusions may have lucid intervals and remain conscious upon admission.
Cerebral Contusion - StatPearls - NCBI Bookshelf
2023年8月28日 · Cerebral contusions are usually seen in the temporal and frontal lobes, even though other sites can be implicated through a coup (beneath the impact) and contrecoup (opposite to impact). The brain contusions are lesions with a hemorrhagic character that begins in the brain cortical area and, more commonly, at crests of the gyri of the cerebrum.
Talk and die revisited: bifrontal contusions and late deterioration
Awake patients with bifrontal contusions represent a unique cohort of TBI patients who are prone to rapid deterioration late in their clinical course. They have extensive frontal edema and mass effect, yet we were unable to find a correlation between edema volumes and …
Surgical Treatment of Traumatic Bifrontal Contusions: When and …
2016年9月1日 · The study aimed to investigate optimal surgical timing, methods, and clinical efficacy of bifrontal decompression craniotomy (BDC) on traumatic bifrontal contusions (TBC).
Contusion expansion, low platelet count and bifrontal contusions …
Patients with bifrontal contusions, a platelet count < 150 × 10 9 /L and who experienced CE suffered a worse outcome according to GOSE six months after injury, when compared to patients with contusions in other brain regions. On multivariate analysis, CE remained the most significant variable affecting patient outcome.
Surgical Neurology International
One of the distinct patterns of injury is characterized by contusions of both frontal lobes, labeled “traumatic bifrontal contusions” (TBCs). TBC is often associated with the presence of significant edema and mass effect leading to rapid clinical deterioration after a usually benign presentation at the time of first evaluation.
Surgical Treatment of Traumatic Bifrontal Contusions: When and …
Objective: The study aimed to investigate optimal surgical timing, methods, and clinical efficacy of bifrontal decompression craniotomy (BDC) on traumatic bifrontal contusions (TBC). Methods: A retrospective analysis was performed of 98 patients with TBC who underwent BDC of 2510 patients with traumatic brain injury.
Talk and Die Revisited: Bifrontal Contusions and Late Deteri ...
Severe bifrontal contusions in an awake traumatic brain injury (TBI) patient is a challenging clinical picture, as they are prone to late deterioration. We evaluated our series of patients with severe bifrontal contusions, characterizing their clinical course and suggestions for management.
Intensive Management and Prognosis of 127 Cases with Traumatic ...
2013年12月1日 · Analgesia, sedation, and correction of coagulation dysfunction are very important measures to prevent bifrontal contusion deterioration. Patients with bifrontal contusions often show dysphoria during the acute phase, which would lead to progressive intracranial hemorrhage and increase of intracranial pressure.
Factors determining the requirement of surgical intervention and ...
One of the distinct patterns of injury is characterized by contusions of both frontal lobes, labeled “traumatic bifrontal contusions” (TBCs). TBC is often associated with the presence of significant edema and mass effect leading to rapid clinical deterioration after a usually benign presentation at the time of first evaluation.