title: Early and delayed CT findings in patients with mild-to-moderate head trauma.
abstract: OBJECTIVE
  The aim of this study is to evaluate the changes between the initial and     late cranial CT scans in patients with mild-to-moderate head trauma. MATERIAL     and
  
  
  METHODS
  Of the two thousand six hundred and forty-four patients     hospitalized for head trauma within a two-year period, 112 (4.24%) patients     scored 8 or above in the Glasgow coma scale and there were changes between     initial and late head CT.
  
  
  RESULTS
  Of these, 103 had worsening CT findings.     Neurological status deteriorated in 30% of these cases. Forty-six patients     required surgery based on findings seen on the delayed scans. Neurological     status was stable in 50% of the cases. All the eight patients who expired had     abnormal CT scans initially and had progression in their late scans.
  
  
  CONCLUSIONS
  In patients with mild-to-moderate head trauma, serial CT scanning may     independently modify treatment decisions in a subgroup of patients. Judgment for     delayed scans should be made on an individual basis by taking the risk factors     into account.
authors.affiliation: Dr. Lutfi Kirdar Kartal Research and Training Hospital, First Neurosurgery Clinic, Istanbul, Turkey. sedatdalbayrak@gmail.com
authors.forename: Sedat
authors.initials: S
authors.lastname: Dalbayrak
authors.forename: Sevtap
authors.initials: S
authors.lastname: Gumustas
authors.forename: Ahmet
authors.initials: A
authors.lastname: Bal
authors.forename: Gur
authors.initials: G
authors.lastname: Akansel
mesh_terms: D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000000981:diagnostic imaging* / Q000401:mortality / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D006259:Craniocerebral Trauma / Q000000981:diagnostic imaging* / Q000401:mortality / Q000503:physiopathology; D057210:Delayed Diagnosis; D042241:Early Diagnosis; D005260:Female; D015600:Glasgow Coma Scale / Q000706:statistics & numerical data; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging / Q000401:mortality / Q000503:physiopathology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020198:Intracranial Hemorrhage, Traumatic / Q000000981:diagnostic imaging* / Q000401:mortality / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000401:mortality / Q000503:physiopathology; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000401:mortality / Q000503:physiopathology; D014057:Tomography, X-Ray Computed / Q000379:methods / Q000706:statistics & numerical data*; D055815:Young Adult