High-degree centrum semiovale-perivascular spaces are associated with development of subdural fluid in mild traumatic brain injury

Severe centrum semiovale perivascular spaces (CSO-PVSs) are associated with the onset of brain atrophy and dementia. This study explored the relationship between severity of CSO-PVS and development of subdural fluid (SDF) in patients with mild traumatic brain injury (TBI), with the aim of investigat...

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Published in:PloS one 2019-09, Vol.14 (9), p.e0221788-e0221788
Main Authors: Koo, Hae-Won, Oh, Minkyung, Kang, Hyung Koo, Park, Yung Ki, Lee, Byung-Jou, Han, Seong Rok, Yoon, Sang Won, Choi, Chan Young, Sohn, Moon-Jun, Lee, Chae Heuck
Format: Article
Language:English
Subjects:
Age
Amnesia
Atrophy
Basal ganglia
Biology and Life Sciences
Brain
Brain injuries
Brain Injuries, Traumatic - diagnostic imaging
Brain Injuries, Traumatic - pathology
Brain research
Care and treatment
CAT scans
Cerebrospinal fluid
Cohort Studies
Coma
Computed tomography
Dementia
Dementia disorders
Development and progression
Female
Ganglia
Hazards
Head injuries
Health risks
Hemorrhage
Hospitals
Humans
Hypertension
Magnetic Resonance Imaging
Male
Medical research
Medicine
Medicine and Health Sciences
Men
Middle Aged
Neurosciences
Neurosurgery
Patients
Regression analysis
Research and Analysis Methods
Retrospective Studies
Risk analysis
Risk Factors
Statistical analysis
Statistical models
Stroke
Tomography
Tomography, X-Ray Computed
Trauma
Traumatic brain injury
White Matter - diagnostic imaging
White Matter - pathology
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creator Koo, Hae-Won
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Sohn, Moon-Jun
Lee, Chae Heuck
description Severe centrum semiovale perivascular spaces (CSO-PVSs) are associated with the onset of brain atrophy and dementia. This study explored the relationship between severity of CSO-PVS and development of subdural fluid (SDF) in patients with mild traumatic brain injury (TBI), with the aim of investigating independent radiological risk factors for development of SDF. The study cohort comprised 222 patients with a mean age of 51 years (64.0% men) who presented with mild TBI from January 2013 to November 2016. In this study, mild TBI was defined as a Glasgow Coma Scale (GCS) of ≥ 13, Post-Traumatic Amnesia (PTA) of
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This study explored the relationship between severity of CSO-PVS and development of subdural fluid (SDF) in patients with mild traumatic brain injury (TBI), with the aim of investigating independent radiological risk factors for development of SDF. The study cohort comprised 222 patients with a mean age of 51 years (64.0% men) who presented with mild TBI from January 2013 to November 2016. In this study, mild TBI was defined as a Glasgow Coma Scale (GCS) of ≥ 13, Post-Traumatic Amnesia (PTA) of &lt;1 day, and Loss of Consciousness (LOC) of &lt;30 minutes. The severity of CSO-PVS was categorized as low or high-degree. Among the 222 enrolled patients, 38 (17.1%) and 90 (40.5%) had high-degree PVS in the basal ganglia (BG) and centrum semiovale, respectively. Compared with patients who did not develop SDF, the mean age of patients who developed SDF was significantly higher (47.41 years versus 60.33 years, P &lt; 0.0001). The incidence of de novo SDF was significantly higher in men than in women (77.8% versus 59.5%, P = 0.0151). Patients who showed SDF on brain computed tomography at admission more frequently developed de novo SDF (68.5% versus 38.1%, P &lt; 0.0001). In multivariate logistic regression analysis of risk factors, high-degree CSO-PVS, male sex, initial SDF on admission, and old age were independently associated with development of de novo SDF after mild TBI. In Cox proportional hazards models of risk factors for SDF-development free survival rate, high-degree CSO-PVS, old age, and initial subdural hemorrhage showed statistically significant differences. Our study might help neurosurgeons determine the frequency of brain CT or the duration of follow-up for patients who present with mild TBI with high-degree CSO-PVS.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0221788</identifier><identifier>PMID: 31483820</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Amnesia ; Atrophy ; Basal ganglia ; Biology and Life Sciences ; Brain ; Brain injuries ; Brain Injuries, Traumatic - diagnostic imaging ; Brain Injuries, Traumatic - pathology ; Brain research ; Care and treatment ; CAT scans ; Cerebrospinal fluid ; Cohort Studies ; Coma ; Computed tomography ; Dementia ; Dementia disorders ; Development and progression ; Female ; Ganglia ; Hazards ; Head injuries ; Health risks ; Hemorrhage ; Hospitals ; Humans ; Hypertension ; Magnetic Resonance Imaging ; Male ; Medical research ; Medicine ; Medicine and Health Sciences ; Men ; Middle Aged ; Neurosciences ; Neurosurgery ; Patients ; Regression analysis ; Research and Analysis Methods ; Retrospective Studies ; Risk analysis ; Risk Factors ; Statistical analysis ; Statistical models ; Stroke ; Tomography ; Tomography, X-Ray Computed ; Trauma ; Traumatic brain injury ; White Matter - diagnostic imaging ; White Matter - pathology</subject><ispartof>PloS one, 2019-09, Vol.14 (9), p.e0221788-e0221788</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>2019 Koo et al. 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The incidence of de novo SDF was significantly higher in men than in women (77.8% versus 59.5%, P = 0.0151). Patients who showed SDF on brain computed tomography at admission more frequently developed de novo SDF (68.5% versus 38.1%, P &lt; 0.0001). In multivariate logistic regression analysis of risk factors, high-degree CSO-PVS, male sex, initial SDF on admission, and old age were independently associated with development of de novo SDF after mild TBI. In Cox proportional hazards models of risk factors for SDF-development free survival rate, high-degree CSO-PVS, old age, and initial subdural hemorrhage showed statistically significant differences. 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diagnostic imaging</topic><topic>Brain Injuries, Traumatic - pathology</topic><topic>Brain research</topic><topic>Care and treatment</topic><topic>CAT scans</topic><topic>Cerebrospinal fluid</topic><topic>Cohort Studies</topic><topic>Coma</topic><topic>Computed tomography</topic><topic>Dementia</topic><topic>Dementia disorders</topic><topic>Development and progression</topic><topic>Female</topic><topic>Ganglia</topic><topic>Hazards</topic><topic>Head injuries</topic><topic>Health risks</topic><topic>Hemorrhage</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Men</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Patients</topic><topic>Regression analysis</topic><topic>Research and Analysis Methods</topic><topic>Retrospective Studies</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Statistical analysis</topic><topic>Statistical models</topic><topic>Stroke</topic><topic>Tomography</topic><topic>Tomography, X-Ray Computed</topic><topic>Trauma</topic><topic>Traumatic brain injury</topic><topic>White Matter - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koo, Hae-Won</au><au>Oh, Minkyung</au><au>Kang, Hyung Koo</au><au>Park, Yung Ki</au><au>Lee, Byung-Jou</au><au>Han, Seong Rok</au><au>Yoon, Sang Won</au><au>Choi, Chan Young</au><au>Sohn, Moon-Jun</au><au>Lee, Chae Heuck</au><au>Simmen, Hans-Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High-degree centrum semiovale-perivascular spaces are associated with development of subdural fluid in mild traumatic brain injury</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-09-04</date><risdate>2019</risdate><volume>14</volume><issue>9</issue><spage>e0221788</spage><epage>e0221788</epage><pages>e0221788-e0221788</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Severe centrum semiovale perivascular spaces (CSO-PVSs) are associated with the onset of brain atrophy and dementia. This study explored the relationship between severity of CSO-PVS and development of subdural fluid (SDF) in patients with mild traumatic brain injury (TBI), with the aim of investigating independent radiological risk factors for development of SDF. The study cohort comprised 222 patients with a mean age of 51 years (64.0% men) who presented with mild TBI from January 2013 to November 2016. In this study, mild TBI was defined as a Glasgow Coma Scale (GCS) of ≥ 13, Post-Traumatic Amnesia (PTA) of &lt;1 day, and Loss of Consciousness (LOC) of &lt;30 minutes. The severity of CSO-PVS was categorized as low or high-degree. Among the 222 enrolled patients, 38 (17.1%) and 90 (40.5%) had high-degree PVS in the basal ganglia (BG) and centrum semiovale, respectively. Compared with patients who did not develop SDF, the mean age of patients who developed SDF was significantly higher (47.41 years versus 60.33 years, P &lt; 0.0001). The incidence of de novo SDF was significantly higher in men than in women (77.8% versus 59.5%, P = 0.0151). Patients who showed SDF on brain computed tomography at admission more frequently developed de novo SDF (68.5% versus 38.1%, P &lt; 0.0001). In multivariate logistic regression analysis of risk factors, high-degree CSO-PVS, male sex, initial SDF on admission, and old age were independently associated with development of de novo SDF after mild TBI. In Cox proportional hazards models of risk factors for SDF-development free survival rate, high-degree CSO-PVS, old age, and initial subdural hemorrhage showed statistically significant differences. Our study might help neurosurgeons determine the frequency of brain CT or the duration of follow-up for patients who present with mild TBI with high-degree CSO-PVS.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31483820</pmid><doi>10.1371/journal.pone.0221788</doi><tpages>e0221788</tpages><orcidid>https://orcid.org/0000-0001-7014-3005</orcidid><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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1932-6203
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source Publicly Available Content Database; PubMed Central
subjects Age
Amnesia
Atrophy
Basal ganglia
Biology and Life Sciences
Brain
Brain injuries
Brain Injuries, Traumatic - diagnostic imaging
Brain Injuries, Traumatic - pathology
Brain research
Care and treatment
CAT scans
Cerebrospinal fluid
Cohort Studies
Coma
Computed tomography
Dementia
Dementia disorders
Development and progression
Female
Ganglia
Hazards
Head injuries
Health risks
Hemorrhage
Hospitals
Humans
Hypertension
Magnetic Resonance Imaging
Male
Medical research
Medicine
Medicine and Health Sciences
Men
Middle Aged
Neurosciences
Neurosurgery
Patients
Regression analysis
Research and Analysis Methods
Retrospective Studies
Risk analysis
Risk Factors
Statistical analysis
Statistical models
Stroke
Tomography
Tomography, X-Ray Computed
Trauma
Traumatic brain injury
White Matter - diagnostic imaging
White Matter - pathology
title High-degree centrum semiovale-perivascular spaces are associated with development of subdural fluid in mild traumatic brain injury
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