Clinical characteristics of postoperative contralateral intracranial hematoma after traumatic brain injury.
Acta Neurochir Suppl
; 96: 48-50, 2006.
Article
em En
| MEDLINE
| ID: mdl-16671423
ABSTRACT
OBJECTIVES:
To investigate the clinical characteristics of contralateral intracranial hematoma (ICH) after traumatic brain injury.METHODS:
The subjects included 149 patients with traumatic ICH treated by hematoma evacuation. The patients were retrospectively divided into a bilateral ICH (B-ICH) group and unilateral ICH (U-ICH) group after craniotomy using brain CT scans for comparison of the following parameters complicated expanded brain bulk from the cranial window, hypotension during craniotomy, and outcome.RESULTS:
Post-craniotomy brain CT scans revealed U-ICH in 106 patients and B-ICH in 43 patients. Average Glasgow Coma Scale on arrival did not differ between the groups, but a higher proportion of patients in the B-ICH group deteriorated after admission (p = 0.02). The B-ICH patients also exhibited a significantly higher rate of expanded brain bulk from the cranial window (p < 0.05). No significant difference was observed between the groups with hypotension during craniotomy. The B-ICH group exhibited a lower rate of favorable outcome (p < 0.05) and higher mortality (p < 0.05).CONCLUSION:
The B-ICH patients had a worse outcome than the U-ICH patients. Contralateral ICH was difficult to forecast based on pre- and intraoperative clinical conditions. Subdural hematoma or contusional ICH was frequently observed as a contralateral ICH.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Lesões Encefálicas
/
Avaliação de Resultados em Cuidados de Saúde
/
Descompressão Cirúrgica
/
Craniotomia
/
Hemorragia Intracraniana Traumática
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
Acta Neurochir Suppl
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Japão