Delayed parenchymal hemorrhagic brain injuries in the acute period of traumatic brain injury: risk factors for development

INTRODUCTION. The study is devoted to the search for possible risk factors for the development of delayed parenchymal hemorrhagic brain injuries (OPGPHM) in the acute period of traumatic brain injury (TBI), which combine delayed intracerebral hematomas and progressive foci of brain injury. This pathology is characterized by a high incidence, difficulty in treatment and high mortality. AIM. To study the probable prognostic criteria for the development of OCD in the acute period of TBI. RESULTS. A number of predictors of the development of OCD have been verified: 1) thrombocytopenia; 2) combined TBI (traumatic shock, blood loss); 3) extracranial complications (thrombotic complications); 4) chronic concomitant diseases (diseases of the cardiovascular system); 5) neuroimaging patterns (transformation of ischemic foci into hemorrhagic; formation of local edema with displacement of the median structures ipsilateral to the injury site; pronounced edema – swelling of the brain; damage to the diencephalic zone). CONCLUSION. It seems advisable to take into account these risk factors for the development of delayed parenchymal hemorrhagic brain injuries in the management of patients in the acute period with severe traumatic brain injury.