The clinical correlation of XXXX and spiral computed tomographic scan: a prospective and consecutive study at a level I @entity130 center.

@entity1 @entity4008 @entity174 @entity542 @entity2972 @entity772 @entity3541 @entity393 @entity130
BACKGROUND: Undetected @entity174 ( @entity174 ) can lead to complications such as @entity393 , @entity3541 , @entity2972 , or otorhinorrhea, and can be the cause of life-threatening @entity4008 and can easily be missed. METHODS: We prospectively studied @entity1 with @entity542 between January 2000 and January 2001. All @entity1 were examined by the attending @entity130 physician and then underwent cranial helical computed tomographic (CT) scan independent of clinical findings and Glasgow @entity772 Scale (GCS) score to determine the proportion of @entity174 that would have been missed if diagnosis had been based only on clinical evaluation. RESULTS: Three-hundred fifty consecutive @entity1 with @entity542 were studied during the 12-month period (GCS score: range, 3-15; median, 13). In 34 (9.7%) of these @entity1 , 38 TBF (30 unilateral and 4 bilateral) were diagnosed by CT scan. However, clinical signs of TBF were present in only 22 of the 34 @entity1 (65%). All missed @entity174 were unilateral. Of the @entity1 with missed @entity174 , 8 of 20 (40%) had GCS scores of 14 to 15, 1 of 8 (12.5%) had a GCS score of 9 to 13, and 3 of 6 (50%) had GCS scores < 9. Four of 34 (12%) @entity1 developed clinical complications. CONCLUSION: @entity174 are common injuries in @entity1 with @entity542 . More than one third of these @entity174 may be missed by clinical diagnosis alone. Although the clinical importance of the missed TBF is debatable, 12% of our @entity1 developed complications. Therefore, to rule out these lesions, routine cranial helical CT scan should be recommended in all @entity1 presenting with @entity542 , independent of clinical findings and GCS score.
