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Ventricular Enlargement After Closed Head Injury

Ventricular Enlargement After Closed Head Injury Abstract • To study the relationship between enlargement of the cerebral ventricles and neuropsychological deficit after closed head injury (CHI), we measured the area of the lateral ventricles on computed tomographic scans obtained at least 30 days after severe CHI in 32 young adults and a control group of similar age. Enlargement of the lateral ventricles was demonstrated in 72% of the head-injured subjects, as defined by the ventricle-brain percent ratio (VBR). Ventricular dilation was related to the duration of coma after high-speed motor vehicle accidents and to intellectual and memory defects. The VBR may be a useful index of the severity of brain damage in certain categories of head-injured patients. References 1. Boller FC, Albert ML, LeMay M, et al: Enlargement of the Sylvian aqueduct: A sequel of head injuries . J Neurol Neurosurg Psychiatry 1972;35:463-467.Crossref 2. Front D, Beks JWF, Georganas CHL, et al: Abnormal patterns of cerebrospinal fluid flow and absorption after head injuries: Diagnosis by isotope cisternography . Neuroradiology 1972;4:6-13.Crossref 3. Granholm L, Svendgaard N: Hydrocephalus following traumatic head injuries . Scand J Rehabil Med 1972;4:31-34. 4. Hawkins TD, Lloyd AD, Fletcher GI, et al: Ventricular size following head injury: A clinicoradiological study . Clin Radiol 1976;27:279-289.Crossref 5. Kishore PR, Lipper MH, Miller JD, et al: Post-traumatic hydrocephalus in patients with severe head injury . Neuroradiology 1978;16:261-265.Crossref 6. Gardeur D, Allal R, Piedeliévre C, et al: Etude tomodensitométrique des lésions cérébrales post-traumatiques . J Radiol 1979;60:79-86. 7. Kass B, Lonnum A: Long-term prognosis of patients with central cerebral ventricular enlargement: A fifth follow-up study of 100 patients with a third ventricle measuring 12 mm or more in width . Acta Neurol Scand 1978;57:19-30.Crossref 8. Van Dongen KJ, Braakman R: Late computed tomography in survivors of severe head injury . Neurosurgery 1980;7:14-22.Crossref 9. Teasdale G, Jennett B: Assessment of coma and impaired consciousness: A practical scale . Lancet 1974;2:81-84.Crossref 10. Clifton GL, Grossman RG, Makela ME, et al: Neurologic course and correlated computed tomographic findings after severe closed head injury . J Neurosurg 1980;52:611-624.Crossref 11. Weinberger DR, Torrey EF, Neophytides AN, et al: Lateral cerebral ventricular enlargement in chronic schizophrenia . Arch Gen Psychiatry 1979;36:735-739.Crossref 12. Penn RD, Belanger MG, Yasnoff WA: Ventricular volume in man computed from CAT scans . Ann Neurol 1978;3:216-223.Crossref 13. Levin HS, Grossman RG, Rose JE, et al: Long-term neuropsychological outcome of closed head injury . J Neurosurg 1979;50:412-422.Crossref 14. Hannay HJ, Levin HS, Grossman RG: Impaired recognition memory after head injury . Cortex 1979;15:269-283.Crossref 15. Buschke H, Fuld PA: Evaluating storage, retention, and retrieval in disordered memory and learning . Neurology 1974;24:1019-1025.Crossref 16. Barron SA, Jacobs L, Kinkel WR: Changes in size of normal lateral ventricles during aging determined by computerized tomography . Neurology 1976;26:1011-1013.Crossref 17. Gyldensted C: Measurements of the normal ventricular system and hemispheric sulci of 100 adults with computed tomography . Neuroradiology 1977;14:183-192.Crossref 18. Synek V, Reuben JR: The ventricular-brain ratio using planimetric measurement of EMI scans . Br J Radiol 1976;49:233-237.Crossref 19. Adams JH, Mitchell DE, Graham DI, et al: Diffuse brain damage of immediate impact type . Brain 1977;100:489-502.Crossref 20. Strich SJ: Diffuse degeneration of the cerebral white matter in severe dementia following head injury . J Neurol Neurosurg Psychiatry 1956;19:163-185.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Ventricular Enlargement After Closed Head Injury

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References (23)

Publisher
American Medical Association
Copyright
Copyright © 1981 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1981.00510100051007
Publisher site
See Article on Publisher Site

Abstract

Abstract • To study the relationship between enlargement of the cerebral ventricles and neuropsychological deficit after closed head injury (CHI), we measured the area of the lateral ventricles on computed tomographic scans obtained at least 30 days after severe CHI in 32 young adults and a control group of similar age. Enlargement of the lateral ventricles was demonstrated in 72% of the head-injured subjects, as defined by the ventricle-brain percent ratio (VBR). Ventricular dilation was related to the duration of coma after high-speed motor vehicle accidents and to intellectual and memory defects. The VBR may be a useful index of the severity of brain damage in certain categories of head-injured patients. References 1. Boller FC, Albert ML, LeMay M, et al: Enlargement of the Sylvian aqueduct: A sequel of head injuries . J Neurol Neurosurg Psychiatry 1972;35:463-467.Crossref 2. Front D, Beks JWF, Georganas CHL, et al: Abnormal patterns of cerebrospinal fluid flow and absorption after head injuries: Diagnosis by isotope cisternography . Neuroradiology 1972;4:6-13.Crossref 3. Granholm L, Svendgaard N: Hydrocephalus following traumatic head injuries . Scand J Rehabil Med 1972;4:31-34. 4. Hawkins TD, Lloyd AD, Fletcher GI, et al: Ventricular size following head injury: A clinicoradiological study . Clin Radiol 1976;27:279-289.Crossref 5. Kishore PR, Lipper MH, Miller JD, et al: Post-traumatic hydrocephalus in patients with severe head injury . Neuroradiology 1978;16:261-265.Crossref 6. Gardeur D, Allal R, Piedeliévre C, et al: Etude tomodensitométrique des lésions cérébrales post-traumatiques . J Radiol 1979;60:79-86. 7. Kass B, Lonnum A: Long-term prognosis of patients with central cerebral ventricular enlargement: A fifth follow-up study of 100 patients with a third ventricle measuring 12 mm or more in width . Acta Neurol Scand 1978;57:19-30.Crossref 8. Van Dongen KJ, Braakman R: Late computed tomography in survivors of severe head injury . Neurosurgery 1980;7:14-22.Crossref 9. Teasdale G, Jennett B: Assessment of coma and impaired consciousness: A practical scale . Lancet 1974;2:81-84.Crossref 10. Clifton GL, Grossman RG, Makela ME, et al: Neurologic course and correlated computed tomographic findings after severe closed head injury . J Neurosurg 1980;52:611-624.Crossref 11. Weinberger DR, Torrey EF, Neophytides AN, et al: Lateral cerebral ventricular enlargement in chronic schizophrenia . Arch Gen Psychiatry 1979;36:735-739.Crossref 12. Penn RD, Belanger MG, Yasnoff WA: Ventricular volume in man computed from CAT scans . Ann Neurol 1978;3:216-223.Crossref 13. Levin HS, Grossman RG, Rose JE, et al: Long-term neuropsychological outcome of closed head injury . J Neurosurg 1979;50:412-422.Crossref 14. Hannay HJ, Levin HS, Grossman RG: Impaired recognition memory after head injury . Cortex 1979;15:269-283.Crossref 15. Buschke H, Fuld PA: Evaluating storage, retention, and retrieval in disordered memory and learning . Neurology 1974;24:1019-1025.Crossref 16. Barron SA, Jacobs L, Kinkel WR: Changes in size of normal lateral ventricles during aging determined by computerized tomography . Neurology 1976;26:1011-1013.Crossref 17. Gyldensted C: Measurements of the normal ventricular system and hemispheric sulci of 100 adults with computed tomography . Neuroradiology 1977;14:183-192.Crossref 18. Synek V, Reuben JR: The ventricular-brain ratio using planimetric measurement of EMI scans . Br J Radiol 1976;49:233-237.Crossref 19. Adams JH, Mitchell DE, Graham DI, et al: Diffuse brain damage of immediate impact type . Brain 1977;100:489-502.Crossref 20. Strich SJ: Diffuse degeneration of the cerebral white matter in severe dementia following head injury . J Neurol Neurosurg Psychiatry 1956;19:163-185.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Oct 1, 1981

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