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Traumatic Neuroemergency: Imaging Patients with Traumatic Brain Injury – an Introduction

  • Paul M. ParizelEmail author
  • C. Douglas Philips
Chapter

Abstract

Traumatic brain injury (TBI) is a leading cause of mortality and disability among young individuals, especially in high-income countries [40]. According to a meta-analysis, combining reports from 23 European countries between 1980 and 2003, the incidence rate is about 235 per 100,000 [59]. Increasingly, imaging techniques play a crucial role in the diagnosis and management of patients with craniocerebral trauma, often influencing life or death decisions.

Keyword

Traumatic brain injury (TBI) CT MRI Epidural hemorrhage Subdural hemorrhage Diffuse axonal injury Secondary brainstem hemorrhage Diffusion-weighted imaging Diffusion tensor imaging 

References

  1. 1.
    Maas AI, Stocchetti N, Bullock R (2008) Moderate and severe traumatic brain injury in adults. Lancet Neurol 7(8):728–741CrossRefPubMedGoogle Scholar
  2. 2.
    Tagliaferri F, Compagnone C, Korsic M, Servadei F, Kraus J (2006) A systematic review of brain injury epidemiology in Europe. Acta Neurochir (Wien) 148(3):255–268CrossRefGoogle Scholar
  3. 3.
    Le TH, Gean AD (2009) Neuroimaging of traumatic brain injury. Mt Sinai J Med 76(2):145–162CrossRefPubMedGoogle Scholar
  4. 4.
    Jones TR, Kaplan RT, Lane B, Atlas SW, Rubin GD (2001) Single- versus multi-detector row CT of the brain: quality assessment. Radiology 219(3):750–755CrossRefPubMedGoogle Scholar
  5. 5.
    Langford S, Panigrahy A, Narayanan S, Hwang M, Fitz C, Flom L, Lee VK, Zuccoli G (2015) Multiplanar reconstructed CT images increased depiction of intracranial hemorrhages in pediatric head trauma. Neuroradiology 57(12):1263–1268CrossRefPubMedGoogle Scholar
  6. 6.
    Bykowski J, Wong W (2012) Angiographic evaluation and treatment for head and neck vascular injury. Appl Radiol 41(3):10–16Google Scholar
  7. 7.
    Provenzale J (2010) Imaging of traumatic brain injury: a review of the recent medical literature. AJR Am J Roentgenol 194(1):16–19CrossRefPubMedGoogle Scholar
  8. 8.
    Parizel PM, Van Goethem JW, Ozsarlak O, Maes M, Phillips CD (2005) New developments in the neuroradiological diagnosis of craniocerebral trauma. Eur Radiol 15(3):569–581CrossRefPubMedGoogle Scholar
  9. 9.
    Yen K, Vock P, Tiefenthaler B, Ranner G, Scheurer E, Thali MJ, Zwygart K, Sonnenschein M, Wiltgen M, Dirnhofer R (2004) Virtopsy: forensic traumatology of the subcutaneous fatty tissue; multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) as diagnostic tools. J Forensic Sci 49(4):799–806CrossRefPubMedGoogle Scholar
  10. 10.
    Malli N, Ehammer T, Yen K, Scheurer E (2013) Detection and characterization of traumatic scalp injuries for forensic evaluation using computed tomography. Int J Legal Med 127(1):195–200CrossRefPubMedGoogle Scholar
  11. 11.
    Hofman PA, Nelemans P, Kemerink GJ, Wilmink JT (2000) Value of radiological diagnosis of skull fracture in the management of mild head injury: meta-analysis. J Neurol Neurosurg Psychiatry 68(4):416–422CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Nakahara K, Shimizu S, Utsuki S, Oka H, Kitahara T, Kan S, Fujii K (2011) Linear fractures occult on skull radiographs: a pitfall at radiological screening for mild head injury. J Trauma 70(1):180–182CrossRefPubMedGoogle Scholar
  13. 13.
    Tallon JM, Ackroyd-Stolarz S, Karim SA, Clarke DB (2008) The epidemiology of surgically treated acute subdural and epidural hematomas in patients with head injuries: a population-based study. Can J Surg 51(5):339–345PubMedPubMedCentralGoogle Scholar
  14. 14.
    Parizel PM, Phillips CD (2012) Neuroradiological diagnosis of craniocerebral trauma: current concepts. In: Hodler J, Von Schulthess GK, Zollikofer ChL (eds) Diseases of the brain, head & neck, spine 2012-2015.Google Scholar
  15. 15.
    Al-Nakshabandi NA (2001) The swirl sign. Radiology 218(2):433CrossRefPubMedGoogle Scholar
  16. 16.
    Gean AD, Fischbein NJ, Purcell DD, Aiken AH, Manley GT, Stiver SI (2010) Benign anterior temporal epidural hematoma: indolent lesion with a characteristic CT imaging appearance after blunt head trauma. Radiology 257(1):212–218CrossRefPubMedGoogle Scholar
  17. 17.
    Senturk S, Guzel A, Bilici A, Takmaz I, Guzel E, Aluclu MU, Ceviz A (2010) CT and MR imaging of chronic subdural hematomas: a comparative study. Swiss Med Wkly 140(23-24):335–340PubMedGoogle Scholar
  18. 18.
    Honda Y, Sorimachi T, Momose H, Takizawa K, Inokuchi S, Matsumae M (2015) Chronic subdural haematoma associated with disturbance of consciousness: significance of acute-on-chronic subdural haematoma. Neurol Res 37(11):985–992CrossRefPubMedGoogle Scholar
  19. 19.
    León-Carrión J, Domínguez-Morales Mdel R, Martín JM BY, Murillo-Cabezas F (2005) Epidemiology of traumatic brain injury and subarachnoid hemorrhage. Pituitary 8(3-4):197–202CrossRefPubMedGoogle Scholar
  20. 20.
    Fainardi E, Chieregato A, Antonelli V, Fagioli L, Servadei F (2004) Time course of CT evolution in traumatic subarachnoid haemorrhage: a study of 141 patients. Acta Neurochir (Wien) 146(3):257–263CrossRefGoogle Scholar
  21. 21.
    Verma RK, Kottke R, Andereggen L, Weisstanner C, Zubler C, Gralla J, Kiefer C, Slotboom J, Wiest R, Schroth G, Ozdoba C, El-Koussy M (2013) Detecting subarachnoid hemorrhage: comparison of combined FLAIR/SWI versus CT. Eur J Radiol 82(9):1539–1545CrossRefPubMedGoogle Scholar
  22. 22.
    LeRoux PD, Haglund MM, Newell DW, Grady MS, Winn HR (1992) Intraventricular hemorrhage in blunt head trauma: an analysis of 43 cases. Neurosurgery 31(4):678–684CrossRefPubMedGoogle Scholar
  23. 23.
    Sohn CH, Baik SK, Lee HJ, Lee SM, Kim IM, Yim MB, Hwang JS, Lauzon ML, Sevick RJ (2005) MR imaging of hyperacute subarachnoid and intraventricular hemorrhage at 3T: a preliminary report of gradient echo T2*-weighted sequences. AJNR Am J Neuroradiol 26(3):662–665PubMedGoogle Scholar
  24. 24.
    Wu Z, Li S, Lei J, An D, Haacke EM (2010) Evaluation of traumatic subarachnoid hemorrhage using susceptibility-weighted imaging. AJNR Am J Neuroradiol 31(7):1302–1310CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Toyama Y, Kobayashi T, Nishiyama Y, Satoh K, Ohkawa M, Seki K (2005) CT for acute stage of closed head injury. Radiat Med 23(5):309–316PubMedGoogle Scholar
  26. 26.
    Alahmadi H, Vachhrajani S, Cusimano MD (2010) The natural history of brain contusion: an analysis of radiological and clinical progression. J Neurosurg 112(5):1139–1145CrossRefPubMedGoogle Scholar
  27. 27.
    Kurland D, Hong C, Aarabi B, Gerzanich V, Simard JM (2012) Hemorrhagic progression of a contusion after traumatic brain injury: a review. J Neurotrauma 29(1):19–31CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Lee B, Newberg A (2005) Neuroimaging in traumatic brain imaging. NeuroRx 2(2):372–383CrossRefPubMedPubMedCentralGoogle Scholar
  29. 29.
    Coles JP (2007) Imaging after brain injury. Br J Anaesth 99(1):49–60CrossRefPubMedGoogle Scholar
  30. 30.
    Besenski N (2002) Traumatic injuries: imaging of head injuries. Eur Radiol 12(6):1237–1252CrossRefPubMedGoogle Scholar
  31. 31.
    Drew LB, Drew WE (2004) The contrecoup-coup phenomenon: a new understanding of the mechanism of closed head injury. Neurocrit Care 1(3):385–390CrossRefPubMedGoogle Scholar
  32. 32.
    Hammoud DA, Wasserman BA (2002) Diffuse axonal injuries: pathophysiology and imaging. Neuroimaging Clin N Am 12(2):205–216CrossRefPubMedGoogle Scholar
  33. 33.
    Li XY, Feng DF (2009) Diffuse axonal injury: novel insights into detection and treatment. J Clin Neurosci 16(5):614–619CrossRefPubMedGoogle Scholar
  34. 34.
    Parizel PM, Ozsarlak, Van Goethem JW, van den Hauwe L, Dillen C, Verlooy J, Cosyns P, De Schepper AM (1998) Imaging findings in diffuse axonal injury after closed head trauma. Eur Radiol 8(6):960–965Google Scholar
  35. 35.
    Niogi SN, Mukherjee P, Ghajar J, Johnson C, Kolster RA, Sarkar R, Lee H, Meeker M, Zimmerman RD, Manley GT, McCandliss BD (2008) Extent of microstructural white matter injury in postconcussive syndrome correlates with impaired cognitive reaction time: a 3T diffusion tensor imaging study of mild traumatic brain injury. AJNR Am J Neuroradiol 29(5):967–973CrossRefPubMedGoogle Scholar
  36. 36.
    Hurley RA, McGowan JC, Arfanakis K, Taber KH (2004) Traumatic axonal injury: novel insights into evolution and identification. J Neuropsychiatry Clin Neurosci 16(1):1–7CrossRefPubMedGoogle Scholar
  37. 37.
    Chan JH, Tsui EY, Peh WC, Fong D, Fok KF, Leung KM, Yuen MK, Fung KK (2003) Diffuse axonal injury: detection of changes in anisotropy of water diffusion by diffusion-weighted imaging. Neuroradiology 45(1):34–38PubMedGoogle Scholar
  38. 38.
    Hulkower MB, Poliak DB, Rosenbaum SB, Zimmerman ME, Lipton ML (2013) A decade of DTI in traumatic brain injury: 10 years and 100 articles later. AJNR Am J Neuroradiol 34(11):2064–2074CrossRefPubMedGoogle Scholar
  39. 39.
    Larson PS, Reisner A, Morassutti DJ, Abdulhadi B, Harpring JE (2000) Traumatic intracranial aneurysms. Neurosurg Focus 8(1):e4CrossRefPubMedGoogle Scholar
  40. 40.
    Mao Z, Wang N, Hussain M, Li M, Zhang H, Zhang Q, Zhang P, Zhi X, Ling F (2012) Traumatic intracranial aneurysms due to blunt brain injury - a single center experience. Acta Neurochir 154(12):2187–2193CrossRefPubMedGoogle Scholar
  41. 41.
    Schievink WI (2001) Spontaneous dissection of the carotid and vertebral arteries. N Engl J Med 344(12):898–906CrossRefPubMedGoogle Scholar
  42. 42.
    Caplan LR (2008) Dissections of brain-supplying arteries. Nat Clin Pract Neurol 4(1):34–42CrossRefPubMedGoogle Scholar
  43. 43.
    Parizel PM, Makkat S, Jorens PG, Ozsarlak O, Cras P, Van Goethem JW, van den Hauwe L, Verlooy J, De Schepper AM (2002) Brainstem hemorrhage in descending transtentorial herniation (Duret hemorrhage). Intensive Care Med 28(1):85–88CrossRefPubMedGoogle Scholar
  44. 44.
    Parizel PM, Demey HE, Veeckmans G, Verstreken F, Cras P, Jorens PG, De Schepper AM (2001) Early diagnosis of cerebral fat embolism syndrome by diffusion-weighted MRI (starfield pattern). Stroke 32(12):2942–2944PubMedGoogle Scholar
  45. 45.
    Server A, Dullerud R, Haakonsen M, Nakstad PH, Johnsen UL, Magnaes B (2001) Post-traumatic cerebral infarction. Neuroimaging findings, etiology and outcome. Acta Radiol 42(3):254–260PubMedGoogle Scholar
  46. 46.
    Kazim SF, Shamim MS, Tahir MZ, Enam SA, Waheed S (2011) Management of penetrating brain injury. J Emerg Trauma Shock 4(3):395–402CrossRefPubMedPubMedCentralGoogle Scholar
  47. 47.
    Drapkin AJ (2006) Growing skull fracture: a posttraumatic neosuture. Childs Nerv Syst 22(4):394–397CrossRefPubMedGoogle Scholar
  48. 48.
    Ersahin Y, Gülmen V, Palali I, Mutluer S (2000) Growing skull fractures (craniocerebral erosion). Neurosurg Rev 23(3):139–144CrossRefPubMedGoogle Scholar
  49. 49.
    Friedman JA, Ebersold MJ, Quast LM (2001) Post-traumatic cerebrospinal fluid leakage. World J Surg 25(8):1062–1066CrossRefPubMedGoogle Scholar
  50. 50.
    Hofmann E, Behr R, Schwager K (2009) Imaging of cerebrospinal fluid leaks. Klin Neuroradiol 19(2):111–121CrossRefPubMedGoogle Scholar
  51. 51.
    Makulski DD, Taber KH, Chiou-Tan FY (2008) Neuroimaging in posttraumatic hypopituitarism. J Comput Assist Tomogr 32(2):324–328CrossRefPubMedGoogle Scholar
  52. 52.
    Xiong KL, Zhu YS, Zhang WG (2014) Diffusion tensor imaging and magnetic resonance spectroscopy in traumatic brain injury: a review of recent literature. Brain Imaging Behav 8(4):487–496CrossRefPubMedGoogle Scholar
  53. 53.
    Jensen JH, Helpern JA (2010) MRI quantification of non-Gaussian water diffusion by kurtosis analysis. NMR Biomed 23(7):698–710CrossRefPubMedPubMedCentralGoogle Scholar
  54. 54.
    Huisman TA, Schwamm LH, Schaefer PW, Koroshetz WJ, Shetty-Alva N, Ozsunar Y, Wu O, Sorensen AG (2004) Diffusion tensor imaging as potential biomarker of white matter injury in diffuse axonal injury. AJNR Am J Neuroradiol 25(3):370–376PubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of RadiologyAntwerp University Hospital & University of AntwerpAntwerp (Edegem)Belgium
  2. 2.Head and Neck ImagingWeill Cornell Medical Center, NewYork-Presbyterian HospitalNew YorkUSA

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