脑CT灌注成像对轻型颅脑损伤预后的评估价值

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Abstract Objective To evaluate the value of CT cerebral perfusion imaging in the prognosis of patients with mild traumatic brain injury (mTBI). Methods A total of 34 patients with mTBI collected in the 908th Hospital of PLA Joint Logistics Support Force who underwent CT plain scan and perfusion imaging examination were reviewed one month after TBI using Rivermead post-concussion symptoms questionnaire (RPQ) scores as prognostic indicators. Results Abnormal cerebral perfusion was found in 30 cases (88.2%).Post-concussion syndrome(PCS) was positive in 12 cases(35.3%) (RPQ score>14). No abnormal perfusion changes were observed in 4 patients(11.8%). Of the 30 patients with abnormal perfusion, 11cases (36.7%) showed PCS, while only 1(25%) of the 4 patients without abnormal perfusion were PCS positive. The areas with abnormal perfusion were mainly manifested as focal hypoperfusion in the frontal and temporal lobes. Conclusions The hemodynamic changes in patients with mTBI canbe assessed by CT cerebral perfusion imaging, which may further help to guide the evaluation of disease severity and timely treatment of the abnormal cerebral microcirculation, thus improving the prognosis of mTBI.

Key words： CT perfusion imaging mild traumatic brain injury post-concussion syndrome

Received: 27 February 2023

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	Articles by authors
	XIE Anming
	SHANG Feng
	DENG Lei
	WANG Liuxian
	WEI Wenfeng
	FAN Huagang

Cite this article:

XIE Anming,SHANG Feng,DENG Lei等. Evaluation value of CT cerebral perfusion imaging in prognosis of mild traumatic brain injury[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(11): 960-962.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I11/960

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