II. Pathophysiology
-
Severe Head Injury typically affecting deep brain tissue
- Most commonly involves anterior Frontal Lobes (frontal poles) and Temporal Lobes
- Deep injury results from tensile and shearing forces
- Tears small caliber arterioloes within the brain
- Results in small Hemorrhages that may coalesce into larger intraparenchymal Hematomas
- Injury may be on the same, ipsilateral side of injury, or contralateral side (contrecoup)
III. Signs
IV. Imaging
-
CT Head (at presention and repeated in 12 hours)
- Cerebral Infarction, necrosis and Hemorrhage results in a heterogeneous, irregular appearance to parenchyma
- Edema
- Intraparenchymal Hemorrhage
V. Management
- See Management of Severe Head Injury
- Emergent Neurosurgical Consultation
VI. Complications
- Severe Head Trauma Related Increased Intracranial Pressure
- Post-Traumatic Seizure
- Focal neurologic deficits (in distribution of Contusion)
VII. References
- Abuguyan (2024) Crit Dec Emerg Med 38(7): 4-11
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Related Studies
| Concepts | Injury or Poisoning (T037) |
| MSH | D001930 |
| SnomedCT | 34663006 |
| English | Brain Contusions, Contusion, Brain, Contusions, Brain, contusion brain, of brain contusion, contusion of brain, brain contusions, brain contusion, Brain contusion, Contusion of brain (diagnosis), head injury contusion of brain, Contusion of brain, Contusional brain injury, Contusion of brain (disorder), brain; contusion, contusion; brain, Contusion of brain, NOS, Brain Contusion |
| Italian | Contusione cerebrale, Contusione del cervello |
| Japanese | 脳挫傷, ﾉｳｻﾞｼｮｳ |
| Portuguese | Contusão Encefálica, Contusão cerebral |
| Spanish | Contusión Encefálica, conmoción encefálica (trastorno), conmoción encefálica, contusión encefálica (trastorno), contusión encefálica, Contusión cerebral |
| German | Hirnkontusion, Hirnprellung |
| Czech | Kontuze mozku, mozek - pohmoždění |
| French | Contusion de l'encéphale, Contusion cérébrale, Contusion encéphalique |
| Hungarian | Contusio cerebri |
| Norwegian | Hjernekontusjon |
| Dutch | contusie; hersenen, hersenen; contusie, hersencontusie, Hersencontusie |
