Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1377
11
1
gregorian
1999
2
1
12
4
online
1
fulltext
en
TRA UMATIC ACUTE SUBDURAL HEMATOMA: ANALYSIS OF FACTORS AFECTING OUTCOME IN COMATOSE PATIENTS
Neurosurgery
Neurosurgery
Original Research
Original Research
To determine the factors affecting the outcome of patients with traumatic acute
subdural hematoma, we reviewed the records of7 4 consecutive comatose patients
with a Glascow coma scale Score (GCS) of less than 8 who had been admitted to
Imam Hosein Medical Center from 1990 to 1996 and had undergone a uniform
treatment protocol.
The overall mortality rate was 73% and 23% had functional recovery, but 4%
were severely disabled or vegetative. The following variables had a statistically
significant correlation with poor outcome: age over 65 years (p<0.05), preoperative
GCS of 3 or 4 (p<0.05), bilateral absent pupillary light reflexes (p<0.05), and
immediate and sustained coma from the moment of injury to operation without any
lucid interval (p<0.00l). The time interval between injury and operation, sex,
mechanism of injury, and associated craniocerebral injuries were not significantly
correlated with outcome. In patients with immediate post-traumatic
unconsciousness, the extent of primary brain injury is the crucial factor to predict
the outcome. However, in patients with a lucid interval, the mass effect of
hematoma seems to be more important, therefore prompt surgical decompression
in addition to management of secondary brain insults improves the outcome
remarkably.
Acute subdural hematoma, GCS, lucid interval, outcome
313
318
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-431&slc_lang=en&sid=1
SHIRZAD
AZHARI
20031947532846004710
20031947532846004710
Yes
From the Department of Neurosurgery, Imam Hosein Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran
HOSEIN
SAFDARI
20031947532846004711
20031947532846004711
No
MASSOUD
SHABEHPOOR
20031947532846004712
20031947532846004712
No
HOSEIN
NAYEBAGHAIE
20031947532846004713
20031947532846004713
No
ZOHREH
AMIRI
20031947532846004714
20031947532846004714
No