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J Neurol Neurosurg Psychiatry 71:521-524 doi:10.1136/jnnp.71.4.521
  • Short report

The structural basis of moderate disability after traumatic brain damage

Table 2

Principal features in 20 patients who survived in a moderately disabled state for 1 year or more after a head injury

Patient No Age at death (y) Sex Cause Survival Lucid Skull fracture Brain weight (g) IC Haem ICP+ TCI DAI IBD Abnormalities in:
Neocx SCWM Thalamus Brain stem Hydrocephalus
1 47 M Fall 1 y No No 1310 ICHe No 22 No No C No No No No
2 40 M Fall 1 y 6 m T No NK ICHe Yes 12 No + AT F No L No
3 44 F Fall 1 y 6 m T NK 1245 No No 10 No No C No No No No
4 67 M Fall 2 y T Yes 1560 SDH No 18 No No C No No No +++ B
5 44 F Fall 2 y P Yes 1010 SDHe Yes 10 No + C:AT F F M + U
6 49 M Fall 3 y T No 1440 No No 6 No No C No No No ++ B
7 54 M Fall 3 y P Yes 1190 ICHe Yes 27 1 No C D No No + U
8 51 M Fall 3 y T Yes 1220 ICHe No 14 1 No C D No No No
9 48 M Fall 3 y NK NK 1450 SDHe No 12 No No C No No No No
10 59 M Fall 4 y NK NK 1290 ICHe Yes 15 No No C No No No ++ B
11 48 M Fall 4 y T Yes 1100 SDHe No 12 1 No C D No No + U
12 37 M Fall 4 y NK Yes 1100 ICHe Yes 27 No No C No No No + U
13 38 M NK 4 y NK NK 1460 No No 16 No No C No No No No
14 19 M Assault 5 y T Yes 1680 SDH No 6 No No C No No No No
15 35 M Fall 11 y No NK NK No No 1 2 No C D No No No
16 60 M NK 12 y NK Yes 1300 SDHe No 10 1 No C D No No ++ B
17 58 M RTA 16 y T Yes 1400 EDH No 12 1 No C D No No + U
18 54 M NK 16 y NK NK 1320 ICblr No 10 No No C No No No No
19 48 M RTA 22 y NK NK 1570 SDHe No 6 No No C No No No No
20 55 F Fall 47 y NK NK 1040 No No 2 No + C:BZ F No No No
  • RTA=road traffic accident.

  • Lucidity: T=Total; P=Partial.

  • IC Haem=intracranial haematoma.

  • SDH=subdural haematoma; EDH=extradural haematoma; ICH=intracerebral haematoma; ICblr=intracerebellar; e=evacuated.

  • ICP +=Raised intracranial pressure.

  • TCI=Total contusion index.

  • DAI=Diffuse axonal injury: 1 and 2 indicate grade.

  • IBD=Ischaemic brain damage: +=moderate; BZ=arterial boundary zones; AT=arterial territories.

  • Neocx=Neocortex: C=surface contusions.

  • SCWM=Subcortical white matter: D=diffuse; F=focal.

  • Thalamus: F=focal damage.

  • Brain stem: M=focal damage in midline; L=lateral damage.

  • Hydrocephalus: +=slight ventricular enlargement; ++=moderate; +++=severe.

  • B=bilateral; U=unilateral; NK=not known.

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