Surgical Outcome of Traumatic Intracranial Hematoma
Open Access
- 1 January 2020
- journal article
- Published by Scientific Research Publishing, Inc. in Open Journal of Modern Neurosurgery
- Vol. 10 (01), 51-62
- https://doi.org/10.4236/ojmn.2020.101006
Abstract
Objective: To evaluate the factors affecting the surgical outcome of traumatic intracranial hematoma. Patient and Methods: This study was retrospectively conducted on 60 patients with traumatic intracranial hematoma admitted to the Neurosurgery Department, Al-Azhar University Hospital and underwent surgical management. Results: The age range was 10 - 58 years, mean age was 31.50 years, male-to-female ratio was 3:1. The causative trauma was road traffic accident (45%), direct trauma to the head (30%) and fall from height (FFH) (25%) of all studied patients. Morbidity and/or mortality was reported in 38.3% and unfavorable outcome was significantly associated with longer delay time (time from injury to surgery), increased operative time, long duration of hospital stay and lower Glasgow coma scale at admission and discharge. Otherwise, the unfavorable outcome although increased with old age, there was no significant association. Conclusion: Head trauma is considered as a frequent cause of death and disability. Time consuming to reach the hospital, operative time, length of stay in hospital and Glasgow coma score of the patient on admission and discharge markedly determine the surgical outcome of traumatic intracranial hematoma.Keywords
This publication has 1 reference indexed in Scilit:
- Factors Associated With Mortality and Brain Injury After Falls From the Standing PositionThe Journal of Trauma and Acute Care Surgery, 2009