Relationship Between Rotterdam CT Score, Intracranial Pressure And Prognosis In Moderated And Severe Traumatic Brain Injury

Objective Research the relationship between CT image characteristics and theintracranial pressure values in patients suffering from moderate and severe traumaticbrain injury. Then combined Rotterdam CT score analysis the relationship betweenthem and clinical outcome. Provide new ideas for right curing and assessment theprognosis after injury for clinical.Methods28patients admitted within24h of trauma were included. Neurologicalstatus on admission GCS (Glasgow Coma Scale) were evaluated. Continuous monitorthe intracranial pressure and underwent a cranial computed tomography scan. Recordthe situation of CT image characteristics such as basal cistern, midline shift,ventricular compression. Assessed by Rotterdam CT score. Analyzing the relationshipamong CT scores,intracranial pressure and prognosis.Results It is significant difference between varying degrees of basal cistern,midline shift, ventricular compression conditions and Rotterdam CT score withintracranial pressure. They are all correlate with intracranial pressure. Rotterdam CTscore has the strongest correlation with intracranial pressure.2. It is significantdifference between different prognosis with admission GCS score, basal cisternconditions and Rotterdam CT score and intracranial pressure, while the midline shiftand ventricular compression was no significant differences. The intracranial pressure24hours after injury has the strongest correlation with prognosis, and then is the RotterdamCT score, intracranial pressure24hours after injury and prognosis the most relevant,followed by Rotterdam CT score, basal cell cases, admission GCS score, basal cisternconditions, admission GCS score. But the situation of midline shift and ventricularcompression was no significant correlation with prognosis. Conclusions1. CT image characteristics including basal cistern, midline shift,ventricular compression conditions correlated with intracranial pressure in patientssuffering from moderate and severe traumatic brain injury. The correlation of RotterdamCT score and intracranial pressure is moreaccurate. We can according these CT imagecharacteristics and Rotterdam CT score to assessment of intracranial pressure situationafter brain injury.2. Using a single CT imaging characteristics predict prognosis hassome limitations, Rotterdam CT score which combines the most of CT imagecharacteristics is the better choice. There is a strong correlation between intracranialpressure and the prognosis after traumatic brain injury, It will be benefit that monitorintracranial pressure and treatment under the monitoring for moderate and severetraumatic brain injury patients.