Rotterdam CT score

CT abnormalities in brain trauma

Scoring items

Basal cisterns

0: normal
1: compressed
2: absent

Midline shift

0: no shift or <= 5mm
1: shift > 5mm

Epidural mass lesion

0: present
1: absent

Intraventricular blood or traumatic SAH

0: absent
1: present

Instructions for use

The final score is the sum of the scoring items + 1.

Mortality at 6 months post-injury

Score 1: 0%
Score 2: 7%
Score 3: 16%
Score 4: 26%
Score 5: 53%
Score 6: 61%

Reference
Maas AIR, Hukkelhoven CWPM, Marshall LF, Steyerberg EW. Prediction of outcome in traumatic brain injury with computed tomographic characteristics: a comparison between the computed tomographic classification and combinations of computed tomographic predictors. Neurosurgery. 2005 Dec.;57(6):1173-82