Clinical Predictors of outcome in Isolated Traumatic Acute Subdural Hematoma
Journal Title: Nepal Journal of Neuroscience - Year 2018, Vol 15, Issue 2
Abstract
Head injury is the major cause of death in young adult population worldwide with associated high morbidity. The objective of this study is to fi nd out the outcome and factors affecting the outcome in isolated traumatic acute subdural hematoma. All patients with isolated acute subdural hematoma presenting within 24 hours of trauma and admitted over a period of 1 year were included in this study. Patient was classifi ed according to Glasgow Coma Scale(GCS) after resuscitation in the emergency department. The outcome of the patient was recorded according to the Glasgow Outcome Scale at the time of discharge and at 3 months after the trauma in follow-up. Statistical analysis was performed to fi nd the correlation between GCS, pupillary changes and radiological fi nding in the form of midline shift and hematoma volume to dichotomized outcome. Out of 38 patients enrolled in the study, 33 patients had favorable outcome. Surgery was performed in 12 patients out of whom 4 patients had unfavorable outcome. GCS score, papillary changes, midline shift and hematoma volume were found to have signifi cant association with the outcome in isolated traumatic acute subdural hematoma. Clinical parameters and radiological parameters can gauge the outcome in isolated traumatic brain injury.
Authors and Affiliations
Maya Bhattachan
Keywords
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