The assessment of outcome after traumatic intracerebral hematomas: a clinical study of 34 cases

Abstract

Objective: Traumatic intracerebral hematomas (TICH’s) occur with the multivectorial strength of the neural tissue in patients with a severe head injury. Prognosis is poor due to the generally accompanying intracranial and extracranial lesions. The treatment of these lesions are still controversial.

Methods: This study was performed at Haydarpaşa Numune Hospital, Department of Neurosurgery and consisted of 34 head injured patients who had intraparenchymal lesions greater than 2 cm in size. The effects of age, trauma mechanism, timing of admission after injury, Glasgow Coma Scale (GCS) score of the patients and multiplicity, midline shift, cisternal obliteration, localization and size of the lesions, and the choice of the treatment on the outcome are investigated and compared with nonparametric Kruskal-Wallis test.

Results: The present study demonstrated that age, trauma mechanism, GCS, multiple lesions, midline shift, cisternal obliteration and localization had no effect on the final outcome of patients, but a significant correlation was found between the conservative treatment and hematomas less than 30 cc and early hospitalization in the minor head injured patients.

Conclusion: Based on the results, it is argued that the medical treatment should be recommended for the lesions less than 30 cc.

Keywords

• Head injury,Outcome,Prognosis,Traumatic intracerebral hematoma

References

1. Piepmeier J, Wagner P. Delayed post traumatic extracerebral hematomas J Trauma 1982:22:455- 460.