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Rapid progression of traumatic bifrontal contusions to transtentorial herniation: A case report

Overview of attention for article published in Cases Journal, January 2008
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#6 of 115)
  • High Attention Score compared to outputs of the same age (90th percentile)

Mentioned by

1 blog
4 Wikipedia pages


15 Dimensions

Readers on

43 Mendeley
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Rapid progression of traumatic bifrontal contusions to transtentorial herniation: A case report
Published in
Cases Journal, January 2008
DOI 10.1186/1757-1626-1-203
Pubmed ID

Tausif Rehman, Rushna Ali, Isaac Tawil, Howard Yonas


We report a case of mild to moderate traumatic brain injury in which ICP monitoring or quantitative cerebral perfusion data may have allowed earlier recognition of impending herniation, avoidance of a secondary insult, and ultimately resulted in a better outcome, even though the patient did not meet the standard guidelines of the Brain Trauma Foundation. A thirty-five year old male who presented with traumatic bifrontal contusions and GCS of fourteen and twelve hours later progressed rapidly to having dilated pupils and transtentorial/central herniation over the course of fifteen minutes. The patient was taken emergently for a bifrontal craniectomy. Post operatively he had an acute infarct in the posterolateral left temporal lobe with expected evolution of parenchymal contusions as well as infarcts in the splenium of the corpus callosum, left thalamus and medial right occipital lobe. This case signifies an exception from the guidelines submitted by the Brain Trauma Foundation for intracranial pressure monitoring in patients with severe brain injury.We also point out previous reports which state that in such a patient a more sensitive test for detection would perhaps be quantitative blood flow monitoring, and may have led to a better outcome. We recommend using intracranial pressure monitoring or blood flow measurements to trend patients with bifrontal intraparenchymal contusions and GCS greater than eight to prevent clinically undetected deterioration from transtentorial/central herniation.

Mendeley readers

The data shown below were compiled from readership statistics for 43 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Portugal 1 2%
Unknown 41 95%

Demographic breakdown

Readers by professional status Count As %
Other 8 19%
Student > Master 8 19%
Student > Bachelor 6 14%
Researcher 6 14%
Student > Ph. D. Student 5 12%
Other 9 21%
Unknown 1 2%
Readers by discipline Count As %
Medicine and Dentistry 23 53%
Engineering 2 5%
Psychology 2 5%
Chemical Engineering 1 2%
Immunology and Microbiology 1 2%
Other 9 21%
Unknown 5 12%

Attention Score in Context

This research output has an Altmetric Attention Score of 10. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 April 2013.
All research outputs
of 3,629,728 outputs
Outputs from Cases Journal
of 115 outputs
Outputs of similar age
of 61,771 outputs
Outputs of similar age from Cases Journal
of 2 outputs
Altmetric has tracked 3,629,728 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 115 research outputs from this source. They receive a mean Attention Score of 2.2. This one has done particularly well, scoring higher than 94% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 61,771 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 90% of its contemporaries.
We're also able to compare this research output to 2 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them