Home About Us Writing a Scientific Article Author's Instruction Contact us
 

MERIT RESEARCH JOURNAL OF MEDICINE AND MEDICAL SCIENCES (MRJMMS) (ISSN: 2354-323X)

 
 

/  /    MRJMMS Home   /   /    About MRJMMS    /  /    Submit Manuscripts    /  /      Call For Articles      / /     Editorial Board     / /    Archive     / /    Author's Guide  /  /

 
 


February 2019 Vol. 7 No.2

Other viewing option


Abstract
• Full text
•Reprint (PDF) (95 KB)

Search Pubmed for articles by:
 

Somay H
Dosoglu M

Other links:
PubMed Citation
Related articles in PubMed

















































































































































 




 

Merit Research Journal of Medicine and Medical Sciences (ISSN: 2354-323X) Vol. 7(2) pp. 035-039, February, 2019 

Copyright © 2019 Merit Research Journals
DOI: 10.5281/zenodo.2571519


Original Research Article

Factors Affecting Treatment Outcome in Traumatic Intracerebral Hematomas

 
 
 

Hakan Somay1* and Murat Dosoglu2

 

1Specialist M.D.; Kadikoy Medicana Hospital, Clinics of Neurosurgery, 34744, Istanbul, Turkey.
2Prof. M.D.; Icerenkoy Bayındır Hospital, Clinics of Neurosurgery, 34752, Istanbul, Turkey

*Corresponding Author’s Email: hakansomay@yahoo.com
GSM: +9054 2436 7616

Accepted January 30, 2019

 

Abstract

 

Current indications for surgical treatment of patients with traumatic intracerebral hematomas (TICH), generally observed after severe head traumas are unclear. Therefore, mortality and morbidity rates are higher in such cases. In the present study, the aim was to evaluate patients diagnosed with TISH in line with the literature. The archived medical records of patients (n=56) diagnosed with TICH between January 1991- January 1997 in the neurosurgery clinic were scanned. The alpha significance value was accepted as < 0.05 during the evaluation of the obtained data. After initial neurological examinations of patients, 21 patients were diagnosed with mild head trauma (GCS: 13-15), 20 patients were diagnosed with moderate head trauma (GCS: 9-12), and 15 patients were diagnosed with severe head trauma (GCS: 3-8). 71.4% (n = 40) of these patients with TICH had concomitant multiple intracranial pathologies. CT scans revealed that 36 patients had cisternal compression and that 20 patients had not any cisternal compression. As a treatment modality, 53.6% (n = 30) of the patients were treated with conservative treatment, while the remaining patients (n = 26) underwent surgical treatment. Surgical intervention may be required in patients with midline shift greater than 5 mm at the level of the ventricle, and it should be kept in mind that if the volume of hematoma constitutes 4-8% of the total volume of the brain, this may pose a serious life-threat to the life of patients. An open or closed perimesencephalic cistern may be an important indicator for intracranial pressure. It should also be kept in mind that the localization of cerebral oedema and hematoma is important for surgical treatment.

Keywords: Prognosis, Traumatic intracerebral haemorrhage, Therapeutic approach, Traumatic brain injury



 









































































 










 







































 










 

 
 
   
   
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
   
 
                         

Merit Research Journals© 2019 || Advertisement | Privacy policy.