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AJNR - American Journal of Neuroradiology

Published ahead of print on December 7, 2007
doi: 10.3174/ajnr.A0852

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Outcome after Complicated Minor Head Injury

M. Smits^a, M.G.M. Hunink^a,b,d, D.A. van Rijssel^a,b, H.M. Dekker^e, P.E. Vos^f, D.R. Kool^g, P.J. Nederkoorn^h, P.A.M. Hofmanⁱ, A. Twijnstra^j, H.L.J. Tanghe^a and D.W.J. Dippel^c

^a Department of Radiology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands
^b Department of Epidemiology and Biostatistics, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands
^c Department of Neurology, Erasmus MC-University Medical Center Rotterdam, Rotterdam, the Netherlands
^d Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass
^e Department of Radiology, University Medical Center Nijmegen St. Radboud, Nijmegen, the Netherlands
^f Department of Neurology, University Medical Center Nijmegen St. Radboud, Nijmegen, the Netherlands
^g Department of Radiology, Academic Medical Center, Amsterdam, the Netherlands
^h Department of Neurology, Academic Medical Center, Amsterdam, the Netherlands
ⁱ Department of Radiology, University Hospital Maastricht, Maastricht, the Netherlands
^j Department of Neurology, University Hospital Maastricht, Maastricht, the Netherlands

View larger version (22K): [in this window] [in a new window]   Fig 1. The number of patients presenting with head injury (6936) is an estimate based on the proportion of patients included out of the total number of patients with trauma seen by a neurologist or neurologist-in-training in the emergency department of the participating center that included most patients. Of the 3181 patients included in the CHIP study, 2869 did not have any evidence of a neurocranial traumatic findings on CT, leaving 312 patients eligible for inclusion in the current follow-up study.

View larger version (36K): [in this window] [in a new window]   Fig 2. Distribution (percentage) of the GOS in patients with epidural hematoma (EDH), subdural hematoma (SDH), traumatic subarachnoid hemorrhage (SAH), intraparenchymatous contusion, depressed fracture, linear fracture isolated, linear fracture, skull base fracture, and in all patients (n = 233). GOS = 1 indicates dead; GOS = 2, vegetative state; GOS = 3, severe disability; GOS = 4, moderate disability; GOS = 5, full recovery.