{"id":"https://openalex.org/W2000104735","doi":"https://doi.org/10.1227/00006123-198609000-00012","title":"Is Computed Tomographic Scanning Necessary in Patients with Tentorial Herniation?","display_name":"Is Computed Tomographic Scanning Necessary in Patients with Tentorial Herniation?","publication_year":1986,"publication_date":"1986-09-01","ids":{"openalex":"https://openalex.org/W2000104735","doi":"https://doi.org/10.1227/00006123-198609000-00012","mag":"2000104735","pmid":"https://pubmed.ncbi.nlm.nih.gov/3762889"},"language":"en","primary_location":{"id":"doi:10.1227/00006123-198609000-00012","doi":"https://doi.org/10.1227/00006123-198609000-00012","is_oa":false,"landing_page_url":"https://doi.org/10.1227/00006123-198609000-00012","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5076261158","display_name":"Brian T. Andrews","orcid":"https://orcid.org/0000-0003-3994-6808","observed_orcids":["https://orcid.org/0000-0003-3994-6808"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brian T. Andrews","raw_affiliation_strings":["Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109923917","display_name":"Lawrence H. Pitts","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lawrence H. Pitts","raw_affiliation_strings":["Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108669042","display_name":"Mary Lovely","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary P. Lovely","raw_affiliation_strings":["Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080094098","display_name":"Henry M. Bartkowski","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Henry Bartkowski","raw_affiliation_strings":["Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurological Surgery, School of Medicine, University of California, San Francisco, California","institution_ids":["https://openalex.org/I180670191"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I180670191"],"apc_list":null,"apc_paid":null,"fwci":2.3286,"has_fulltext":false,"cited_by_count":44,"citation_normalized_percentile":{"value":0.87476601,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"19","issue":"3","first_page":"408","last_page":"414"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.9761000275611877,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10706","display_name":"Traumatic Brain Injury and Neurovascular Disturbances","score":0.9761000275611877,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12622","display_name":"Neurosurgical Procedures and Complications","score":0.00930000003427267,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10416","display_name":"Traumatic Brain Injury Research","score":0.00419999985024333,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/tentorial-herniation","display_name":"tentorial herniation","score":0.9739999771118164},{"id":"https://openalex.org/keywords/computed-tomography","display_name":"computed tomography","score":0.6549999713897705},{"id":"https://openalex.org/keywords/traumatic-brain-injury","display_name":"traumatic brain injury","score":0.734000027179718},{"id":"https://openalex.org/keywords/intracranial-hematoma","display_name":"intracranial hematoma","score":0.8080000281333923},{"id":"https://openalex.org/keywords/subdural-hematoma","display_name":"subdural hematoma","score":0.9089999794960022},{"id":"https://openalex.org/keywords/epidural-hematoma","display_name":"epidural hematoma","score":0.9900000095367432},{"id":"https://openalex.org/keywords/craniotomy","display_name":"craniotomy","score":0.875},{"id":"https://openalex.org/keywords/emergency-neurosurgery","display_name":"emergency neurosurgery","score":0.5249999761581421},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.3190000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9300749897956848},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.7769230604171753},{"id":"https://openalex.org/C2778871575","wikidata":"https://www.wikidata.org/wiki/Q514921","display_name":"Craniotomy","level":2,"score":0.7301412224769592},{"id":"https://openalex.org/C2985771010","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomographic","level":3,"score":0.6953917741775513},{"id":"https://openalex.org/C2775941986","wikidata":"https://www.wikidata.org/wiki/Q6784032","display_name":"Mass effect","level":3,"score":0.6904353499412537},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6032623052597046},{"id":"https://openalex.org/C2780635341","wikidata":"https://www.wikidata.org/wiki/Q1297985","display_name":"Brain herniation","level":2,"score":0.5253678560256958},{"id":"https://openalex.org/C544519230","wikidata":"https://www.wikidata.org/wiki/Q32566","display_name":"Computed tomography","level":2,"score":0.5181037783622742},{"id":"https://openalex.org/C2910698681","wikidata":"https://www.wikidata.org/wiki/Q3144926","display_name":"Acute subdural hematoma","level":3,"score":0.5175987482070923},{"id":"https://openalex.org/C2777975874","wikidata":"https://www.wikidata.org/wiki/Q2920572","display_name":"Head injury","level":2,"score":0.4829210937023163},{"id":"https://openalex.org/C3019520628","wikidata":"https://www.wikidata.org/wiki/Q2920572","display_name":"Head trauma","level":2,"score":0.4721408188343048},{"id":"https://openalex.org/C2776337453","wikidata":"https://www.wikidata.org/wiki/Q7631109","display_name":"Subdural space","level":3,"score":0.46122604608535767},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4564592242240906},{"id":"https://openalex.org/C2776531899","wikidata":"https://www.wikidata.org/wiki/Q2716919","display_name":"Epidural hematoma","level":3,"score":0.4326787292957306}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006259","descriptor_name":"Craniocerebral Trauma","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006259","descriptor_name":"Craniocerebral Trauma","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006408","descriptor_name":"Hematoma, Subdural","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D006408","descriptor_name":"Hematoma, Subdural","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D006408","descriptor_name":"Hematoma, Subdural","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014057","descriptor_name":"Tomography, X-Ray Computed","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1227/00006123-198609000-00012","doi":"https://doi.org/10.1227/00006123-198609000-00012","is_oa":false,"landing_page_url":"https://doi.org/10.1227/00006123-198609000-00012","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},{"id":"pmid:3762889","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3762889","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G3112181373","display_name":null,"funder_award_id":"NS-14543","funder_id":"https://openalex.org/F4320337359","funder_display_name":"National Institute of Neurological Disorders and Stroke"}],"funders":[{"id":"https://openalex.org/F4320337359","display_name":"National Institute of Neurological Disorders and Stroke","ror":"https://ror.org/01s5ya894"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4239344478","https://openalex.org/W2020364876","https://openalex.org/W205922162","https://openalex.org/W2060742888","https://openalex.org/W2412813474","https://openalex.org/W2383019189","https://openalex.org/W2416617579","https://openalex.org/W2418124406","https://openalex.org/W337974100","https://openalex.org/W2089539918"],"abstract_inverted_index":{"Computed":[0],"tomographic":[1],"(CT)":[2],"scans":[3,54],"are":[4],"performed":[5,43],"on":[6,175],"virtually":[7],"all":[8],"patients":[9,61,135,194,224],"with":[10,62,195],"severe":[11],"head":[12],"injury":[13],"at":[14],"the":[15,21,28,41,47,76,92,97,121,138,155,176,188],"time":[16,22],"of":[17,20,30,49,65,91,178,192,208,216,223,228],"admission.":[18],"Because":[19],"involved":[23],"in":[24,57,80,95,115,136],"obtaining":[25],"these":[26],"studies,":[27],"evacuation":[29,90],"significant":[31,131],"intracranial":[32,50],"mass":[33,113],"lesions":[34,114],"is":[35,220],"delayed.":[36],"To":[37],"avoid":[38],"such":[39,237],"delays,":[40],"authors":[42],"burr-hole":[44,182],"exploration":[45,98,110,122,156],"for":[46,89],"diagnosis":[48],"hematomas":[51,143,150,211],"before":[52],"CT":[53,103,127,139],"were":[55,152],"obtained":[56],"100":[58],"consecutive":[59],"head-injured":[60,193],"clinical":[63],"signs":[64],"tentorial":[66,197],"herniation":[67,198],"or":[68,199],"upper":[69,200],"brain":[70,104,201],"stem":[71,202],"dysfunction":[72],"upon":[73],"admission":[74],"to":[75,172],"emergency":[77],"room.":[78],"Patients":[79],"whom":[81,96,137],"a":[82,87,102,168,173,179,205,213],"hematoma":[83,164,170],"was":[84,99,123,157],"discovered":[85],"had":[86,101,148,161,167],"craniotomy":[88,174],"clot;":[93],"those":[94,231],"negative":[100],"scan":[105,140],"immediately":[106],"after":[107],"operation.":[108],"Burr-hole":[109],"revealed":[111],"extracerebral":[112],"56":[116],"patients.":[117],"In":[118],"38":[119],"patients,":[120],"negative,":[124],"and":[125,165,212,230,240],"postoperative":[126],"scanning":[128],"showed":[129],"no":[130],"hematoma.":[132],"Of":[133],"6":[134],"demonstrated":[141],"extraaxial":[142,210],"requiring":[144],"surgical":[145],"evacuation,":[146],"4":[147],"subdural":[149,169],"that":[151,187],"missed":[153],"because":[154],"incomplete;":[158],"1":[159,166],"patient":[160],"an":[162],"epidural":[163],"contralateral":[171],"side":[177],"positive":[180],"initial":[181],"exploration.":[183],"Our":[184],"results":[185],"indicate":[186],"relatively":[189],"small":[190],"subgroup":[191],"early":[196],"compression":[203],"have":[204],"high":[206],"incidence":[207,215],"immediate":[209],"low":[214,234],"intracerebral":[217],"hematomas.":[218],"This":[219],"particularly":[221],"true":[222],"over":[225],"30":[226],"years":[227],"age":[229],"who":[232],"suffer":[233],"speed":[235],"trauma,":[236],"as":[238],"falls":[239],"vehicle-pedestrian":[241],"accidents.":[242]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
