Servadei F, Piazza G C, Padovani R, Fagioli L, Gaist G
Neurochirurgia (Stuttg). 1985 Jul;28(4):170-3. doi: 10.1055/s-2008-1054191.
The authors present a series of 129 patients with "pure" traumatic cerebral lacerations, i.e. not associated with other intracranial lesions (especially haematomas) which by their presence alone can play a primary role in affecting clinical course and prognosis. Twenty per cent of the patients presented a lucid interval, thus confirming the nature of the laceration as a true expanding lesion, increasing in size in the post-traumatic period. Age, GCS score and neuroradiological findings were investigated in view of the eventual outcome. Follow-up examination confirmed that age and level of coma on admission, together with the degree of ventricular shift and presence of bilateral skull fractures, were all factors of statistical significance in affecting prognosis. Lacerations in the temporal area were associated with the poorest prognosis, and highest incidence of neurological focal deficits and residual parenchymal damage on CT control.
作者报告了一系列129例“单纯”创伤性脑裂伤患者，即不伴有其他颅内病变（尤其是血肿），因为仅这些病变的存在就可能在影响临床病程和预后方面起主要作用。20%的患者出现了清醒期，从而证实了脑裂伤作为一种真正的进行性病变的性质，即在创伤后时期会增大。鉴于最终结果，对年龄、格拉斯哥昏迷评分（GCS）和神经放射学检查结果进行了研究。随访检查证实，年龄、入院时的昏迷程度、脑室移位程度以及双侧颅骨骨折的存在，都是影响预后的具有统计学意义的因素。颞叶区域的脑裂伤预后最差，在CT检查中神经局灶性缺损和实质性残留损伤的发生率最高。
