Head and Neck Imaging

The Imaging Significance of "Whirlpool" Sign of Acute Epidural Hematoma and the Correlation Study between "Whirlpool" Sign and the Prognosis

Author:ZHANG Yong-Sheng

affiliation:Department of Radiology, Guangdong Tongjiang Hospital, Foshan 528300, Guangdong Province, China

PDF

Abstract

Objective To analysis the imaging significance of "whirlpool" sign of acute epidural hematoma on CT scan and the correlation study between "whirlpool" sign and the prognosis. Methods A total of 42 cases of acute epidural hematoma patients treated in our hospital from January 2013 to December 2014 were includeed in the study, all patients were on CT scan, and received surgical treatment, observed the postoperative recovery. The 42 cases were divided into two group, "whirlpool" group(22 cases) and the "without whirlpool" group(20 cases). Results The GCS score after operation was significantly higher than preoperative, the difference was statistically significant (P<0.05); and there was difference between the "whirlpool" group and the " without whirlpool" group, P<0.05. There was statistically difference of fatality rate and the recovery rate between the two groups (χ2 =9.31, 8.28, P<0.05). Conclusions CT scan was significant for the diagnosis of acute epidural hematoma, and it’s better to received surgical treatment if the patients combine with “whirlpool” sign, which would improve the survival rate of patients

【Keyword】CT Scan; Acute Epidural Hematoma; Whirlpool; Craniotomy Evacuation of Hematoma

【Chart number】R651.15;R814.42

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2016.02.010