Marshall CT (computed tomography) classification of traumatic brain injury

Category	Definition
Diffuse injury I (no visible pathology)	No visible intracranial pathology seen on CT scan
Diffuse injury II	Cisterns are present with midline shift of 0-5 mm and/or lesions densities present; no high or mixed density lesion >25 cm³ may include bone fragments and foreign bodies
Diffuse injury III (swelling)	Cisterns compressed or absent with midline shift 0-5 mm; no high or mixed density lesion >25 cm³
Diffuse injury IV (shift)	Midline shift >5 mm; no high or mixed density lesion >25 cm³
Evacuated mass lesion V	Any lesion surgically evacuated
Non-evacuated mass lesion VI	High or mixed density lesion >25 cm³; not surgically evacuated

Marshall_scale_for_TBI.htm

Reproduced with permission from: Adelson PD, Bratton SL, Carney NA, et al. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Chapter 1: Introduction. Pediatr Crit Care Med 2003; 4:S2. Copyright © 2003 Lippincott Williams & Wilkins.

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Marshall CT (computed tomography) classification of traumatic brain injury