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Date Published: 30/01/2024
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DOI: https://doi.org/10.51298/vmj.v534i1B.8322
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Vol. 534 No. 1B (2024)
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Nguyễn, X. P. ., & Nguyễn, T. B. (2024). ASSESSMENT OF WHITE MATTER DENSITY ON COMPUTED TOMOGRAPHY AND ITS PROGNOSTIC SIGNIFICANCE IN SURGICAL OUTCOMES OF ACUTE SUBDURAL HEMATOMA. Vietnam Medical Journal, 534(1B). https://doi.org/10.51298/vmj.v534i1B.8322

ASSESSMENT OF WHITE MATTER DENSITY ON COMPUTED TOMOGRAPHY AND ITS PROGNOSTIC SIGNIFICANCE IN SURGICAL OUTCOMES OF ACUTE SUBDURAL HEMATOMA

Xuân Phương Nguyễn, Thành Bắc Nguyễn

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Abstract

Objective: Evaluate the density of white and gray matter on brain computed tomography (CT) scans to predict surgical outcomes in patients with acute subdural hematoma. Methods: We analyzed 49 patients with traumatic acute subdural hematoma who underwent CT scans and surgery. White and gray matter densities were measured, and their correlation with surgical outcomes was analyzed. Results: The average density of white and gray matter adjacent to the hematoma was 29.3 ± 4.1 HU. The white matter density on the hematoma side significantly decreased compared to the opposite side and was closely related to poor surgical outcomes (p < 0.001). Conclusion: The white matter density on the side of acute subdural hematoma is a predictive factor for surgical outcomes. Lower density is associated with poorer outcomes post-surgery.

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References

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