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Journal of Korean Neurosurgical Society 1991;20(1-3): 13-19. |
Clinical Analysis of Interhemispheric Subdural Hemorrhage and Tentorial Hemorrhage. |
Jang Soo Yoo, Chul Hu, Soon Ki Hong, Hun Joo Kim, Yong Pyo Han |
Department of Neurosurgery, Yonsei University, Wonju College of Medicine, Wonju, Korea. |
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ABSTRACT |
A propecive analysis of 50 patients with acute interhemisphric subdural hemorrhage and tentorial hemorrhage, an unusual pattern of acute subdural hematoma, who were managed in a uniform way was analyzed to related outcome to hemorrhagic site, initial Glasgow Coma Scale(GCS) and combined injuries. The incidence of acute interhemisphric subdural hemorrhage(ISH) and tentoria hemorrhage(TH) after head trauma was 3.83%, 50 cases among 1303 head injured cases. And 80% of the above hemorrhage disapperaed within two weeks after trauma. There was no significant relationship between feature of hemorrhage and intial GCS(P>0.05), but there was highly significant relationship between initial GCS and Glasgow Outcome Scale(GOS) (p<0.001). There noted significant relationship between initial combined injury and GOS(p<0.01), and also brainstem injury and GOS(p<0.001). |
Key Words:
Interhemispheric subdural hemorrhage(ISH); Tentorial hemorrhage(TH); Glasgow Coma Scale(GCS); Glasgow Outcome Scale(GOS) |
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