Prevalence of traumatic brain hemorrhages in brain death patients

Abstract Background: Considering the significant burden of brain death and its leading cause in emergency clinical settings, head traumatic intracranial hemorrhage, the most prevalent type of hemorrhagic event in these scenarios, will help us predict the possibility of consequent development of a vegetative state. Methods: This study aimed to assess the prevalence of other intracranial hemorrhages in patients with brain death. 70 head traumatic brain dead patients referred to Masih Daneshvari hospital underwent CT scan assessment to determine the prevalence of major intracranial hemorrhage types and their complications. Results: Subarachnoid (SAH) and subdural (SDH) hemorrhages consisted of the most prevalent intracranial hemorrhage types among patients with brain dead; 45.7 % and 40%, respectively. Overall, hemorrhagic events led to a midline shift in 14.3% and Edema in 12.9% of cases. We noticed midline shift more in SAH subjects while Edema was of higher prevalence among subarachnoid hemorrhages SDH patients. Conclusion: This study found Subarachnoid (SAH) and subdural (SDH) hemorrhages as the most prevalent types of intracranial hemorrhage among head traumatic brain-dead patients.