Objective
To examine (1) the location of brain lesion that would predict post-traumatic delirium and (2) the association between volume of brain lesion and occurrence of delirium in patients with traumatic brain injury (TBI).
Methods
A retrospective study was conducted by reviewing medical records of 68 TBI patients, categorized into two groups: the delirious group (n=38) and non-delirious group (n=30). The location and volume of TBI were investigated with the 3D Slicer software.
Results
The TBI region in the delirious group mainly involved the frontal or temporal lobe (p=0.038). All 36 delirious patients had brain injury on the right side (p=0.046). The volume of hemorrhage in the delirious group was larger by about 95 mL compared to the non-delirious group, but this difference was not statistically significant (p=0.382).
Conclusion
Patients with delirium after TBI had significantly different injury site and side, but not lesion size compared to patients without delirium.

Citations

• Clinical Utility and Performance of the Traditional Chinese Version of the 4-As Test for Delirium due to Traumatic Brain Injury
  Yun-Hsuan Lai, Chia-Jou Lin, I-Chang Su, Sheng-Wen Huang, Chia-Chi Hsiao, Ying-Ling Jao, Pin-Yuan Chen, Victoria Traynor, Chuan-Ya Lee, Ting-Jhen Chen, Mu-Hsing Ho, Hsiao-Yean Chiu
  Journal of the Academy of Consultation-Liaison Psychiatry.2025; 66(2): 130.     CrossRef
• Post–Intensive Care Syndrome in Neurocritical Care Patients
  Neha S. Dangayach, Natalie Kreitzer, Brandon Foreman, Jenna Tosto-Mancuso
  Seminars in Neurology.2024; 44(03): 398.     CrossRef
• Risk factors for delirium occurring after deep brain stimulation surgery in patients with Parkinson’s disease
  Enes Ozluk, Gulsah Ozturk
  Acta Neurochirurgica.2024;[Epub]     CrossRef