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7/26/2016

Thecomputedtomographicattenuationandtheageofsubduralhematomas.PubMedNCBI

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JKoreanMedSci.1997Aug12(4):3539.

Thecomputedtomographicattenuationandtheageofsubduralhematomas.
LeeKS1,BaeWK,BaeHG,DohJW,YunIG.

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Abstract
Thesequentialchangeindensity(attenuationcoefficient)ofsubduralhematomas(SDHs)incomputed
tomography(CT)isimportantinunderstandingthepathogenesisandevolutionofSDHs.We
retrospectivelyinvestigatedtheageofSDHsbyCTin446cases.Weincluded30casesofchronic
SDHs,inwhomthedensitywasdirectlymeasuredintheCT.Thedensityofacute(within7days)SDH
washyperdensein98.6%,isodensein1.1%,andhypodensein0.3%ofthecases.Insubacute(822
days)SDHs,itwashypodensein45.7%,isodensein42.9%,andhyperdensein11.4%.Inchronic(over
22days)SDHs,86.7%wasisodenseandonly13.3%washypodense.InhypodenseSDHs,64.0%was
thesubacute,and73.2%oftheisodenseSDHswasthechronicone.Themeanintervalfrominjuryto
CTwas0.5+/1.6daysinhyperdenseSDHs,20.9+/20.7daysinhypodenseSDHs,and54.9+/44.0
daysinisodenseSDHs.In30casesofchronicSDH,theaveragedensitywas38.0+/6.9Hounsfield
number(H)in20approximately30days,43.8+/12.8Hin31approximately60days,51.8+/5.1Hin
61approximately90days,and44.2+/8.3Hinover90days.ThedensityofacuteSDHisusually
hyperdense.Itbecomeshypodensewithin3weeks.Thenthedensityprogressivelyincreasesbythe
repeatedmicrohemorrhage,whichisthemechanismofenlargementofchronicSDH.Thedensityof
chronicSDHincreaseswithtimeupto90days,thendecreasesagainaftermaturationofthe
neomembrane,whichisthemechanismofspontaneousresolution.
PMID:9288636 PMCID:PMC3054217 DOI:10.3346/jkms.1997.12.4.353
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Thecomputedtomographicattenuationandtheageofsubduralhematomas.PubMedNCBI

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