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. 2016 Mar 4;89(1061):20150827. doi: 10.1259/bjr.20150827

Table 3.

Patient characteristics, S-100B categories and cranial CT (CCT) as well MRI findings of selected cases of the study group

Patient number Age (years) Gender GCS on admission Mechanism of injury Risk factors S-100B CCT findings (n) MRI findings (n)
1 40 Female 15 Fall LOC, nausea, severe headache, anticoagulants Elevated Contusion (1), SDH (1) Contusions (2), SDH (1)
2 26 Female 15 MVA LOC, PTA, nausea, severe headache, dizziness Elevated Fracture (1) Contusions (2), SAH (3)
3 42 Male 15 Fall Intoxication Elevated SAH (1) SAH (1), contusions (2)
4 22 Male 15 Fall LOC, PTA Elevated Fracture (1), EDH (1) EDH (1)
5 73 Female 15 MVA LOC, PTA, severe headache, age over 60 years Elevated SDH (1) SDH (1), contusions (1), SAH (1)
6 80 Female 15 Fall Dizziness, anticoagulants, age over 60 years Elevated Contusion (1) Cavernoma
7 54 Female 15 Fall LOC, PTA, dizziness, intoxication Elevated Contusion (1) Negative
8 33 Male 14 Fall LOC, PTA, intoxication Elevated Contusion (1) Negative
9 56 Male 15 MVA PTA, LOC Elevated Contusion (1) Negative
10 44 Male 15 MVA LOC, severe headache Not elevated Contusion (1) Negative
11 39 Male 15 MVA Severe headache, dizziness Not elevated Contusion (1) Negative
12 44 Male 15 MVA LOC, severe headache Not elevated Contusion (1) Negative

EDH, epidural haemorrhage; GCS, Glasgow Coma Scale; LOC, loss of consciousness; MVA, motor vehicle accident; PTA, post-traumatic amnesia; SAH, subarachnoid haemorrhage; SDH, subdural haemorrhage.

Elevated S-100B: concentrations >0.1 μg l−1.

Cases 1–5 are patients with positive MRI findings. MRI shows additional trauma-related lesions compared with CCT (additional findings appear in bold type). Skull fractures were not diagnosed by MRI. Case 6 represents an example where MRI clearly distinguished a cavernoma from a suspected contusion. Cases 7–9 are patients with false-positive CCT findings in patients with elevated S-100B concentrations. Cases 10–12 are patients without elevated S-100B concentrations where the initial CCT was assessed as pathologic with suspicion of intracerebral contusions; MRI was able to rule out intracranial trauma, and therefore, these findings were interpreted as artefacts, in retrospect.