Utilidad de la TAC secuencial y la monitorización de la presión intracraneal para detectar nuevo efecto masa intracraneal en pacientes con traumatismo craneal grave y lesión inicial Tipo I-II

Though it is clear that the presence of severe intracranial hypertension significantly increased the risk of death, the small size of the sample in this series prevented to assess to what extent the oceurrence of new mass effect and/or raised ICP contributed to the development of modérate and severe disability in the survivors which were mainly due to the oceurrence of diffuse axonal injury. Finally, demonstrating that sequential CT scanning and ICP monitoring improve the final outeome in this type of patients would require a prospective randomized trial which is impracticable for different reasons, among them the ethical ones.