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Journal of Korean Neurosurgical Society 1991;20(7): 505-510. |
| Clinical Analysis of Bilateral Traumatic Intracranial Hematomas. |
| Young Rok Park, Soon Ki Hong, Chul Hu, Hun Joo Kim, Yong Phy Han |
| Departments of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea. |
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| ABSTRACT |
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The authors analyzed 38 cases with bilateral traumatic intracranial hematoma accroding to teir etiology, impact site, brain computerized tomographic findings, initial Glasgow Coma Scale(GCS) and follow-up Glasgow Outcome Scale(GOS). 1) Bilateral traumatic intracranial hematoma occurred in 38 of the 1358 head injured patients, for an incidence of 2.8%. 2) The important factors affecting on patients' outcome were initial GCS(P>0.001) and effacement of the midline CSF space such as 3rd ventricle, basal and quadrigeminal cistern on initial brain CT scan(P<0.0001). 3) The degree of midline shift on initial brain CT scan did not significantly affect on patients' outcome(p=0.0887). 4) The patients' outcome of bilateral hematoma was good(63%), bad(37%) and the mortality was 15.7%. |
| Key Words:
Head injury; Bilateral intracranial hematoma; Computerized tomography; Glasgow coma scale; Glasgow outcome scale |
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