Journal of Emergency Practice and Trauma

The five preferences for post-traumatic SAH

Document Type : Letter to Editor

Authors

Luis Rafael Moscote-Salazar 1
Huber Padilla-Zambrano 2
Yancarlos Ramos-Villegas 2
Amit Agrawal 3
Andres M. Rubiano 4

1 RED LATINO. Latin American Trauma & Intensive Neuro-Care Organization, Bogota, Colombia

2 Centro de Investigaciones Biomédicas (CIB), Facultad de Medicina — Universidad de Cartagena, Cartagena Colombia

3 MM Institute of Medical Sciences & Research, Maharishi Markandeshwar University, Mullana- Ambala, Haryana, India

4 RED LATINO. Latin American Trauma & Intensive Neuro-Care Organization, Fundacion MEDITECH, Bogota, Colombia

https://doi.org/10.15171/jept.2017.27
Abstract
Acute traumatic brain injury is a worldwide public health crisis. Post-traumatic subarachnoid hemorrhage (SAH) is a finding that is present at a frequency of 40% according to data from American TCDB (1,2). Among the mechanisms that have been implicated as causes of post-traumatic SAH is the cortical bleeding through the subarachnoid space. It is estimated that the incidence of post-traumatic SAH is 11% to 60% in patients with traumatic brain injury. The brain CT is considered a technique with good sensitivity, economical and available in many hospitals worldwide. We have reviewed the literature and found some imaging characteristics of post-traumatic subarachnoid hemorrhage. We have called “the five preferences for post-traumatic SAH”. 

Keywords

Acute traumatic brain injury
Post-traumatic subarachnoid hemorrhage
Post-traumatic SAH
Subjects
1. Mattioli C, Beretta L, Gerevini S, Veglia F, Citerio G, Cormio M, et al. Traumatic subarachnoid hemorrhage on the computerized tomography scan obtained at admission: a multicenter assessment of the accuracy of diagnosis and the potential impact on patient outcome. J Neurosurg 2003; 98(1): 37-42. doi: 10.3171/jns.2003.98.1.0037.
2. Eisenberg HM, Gary HE Jr, Aldrich EF, Saydjari C, Turner B, Foulkes MA, et al. Initial CT findings in 753 patients with severe head injury. A report from the NIH Traumatic Coma Data Bank. J Neurosurg 1990; 73(5): 688-98. doi:10.3171/jns.1990.73.5.0688.
3. Greene KA, Marciano FF, Johnson BA, Jacobowitz R, Spetzler RF, Harrington TR. Impact of traumatic subarachnoid hemorrhage on outcome in nonpenetrating head injury. Part I: a proposed computerized tomography grading scale. J Neurosurg 1995; 83(3): 445-52. doi: 10.3171/jns.1995.83.3.0445.
4. Besenski N. Traumatic injuries: imaging of head injuries. Eur Radiol 2002; 12(6): 1237-52. doi: 10.1007/s00330-002-1355-9.
Journal of Emergency Practice and Trauma
Volume 5, Issue 1
January 2019
Pages 1-1

  • Receive Date 01 August 2017
  • Revise Date 18 September 2017
  • Accept Date 18 September 2017

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