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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.
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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