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.
Highlights
Traumatic intracranial Hematomas (TIHs) are life-threatening emergencies
Morbidity and/or mortality was reported in 38.3% and unfavorable outcome was significantly associated with longer delay time, increased operative time, long duration of hospital stay and lower Glasgow coma scale at admission and discharge
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
Summary
Traumatic intracranial Hematomas (TIHs) are life-threatening emergencies. The accumulation of blood inside cranium after traumatic head injury leads to elevation of intracranial pressure, with subsequent damage of the brain that could advance to persistent vegetative state or even death. Traumatic brain injury (TBI) is challenging for health care providers and exerts an economic burden on the health care system [2]. The indications for evacuation of hematoma in such cases are established, and its favorable outcome has been accepted [4]. In those under surgical evacuation, favorable outcome and its associated factors have not yet been well studied [5] [6]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
