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Journal of Korean Neurosurgical Society 1989;18(3): 424-430.
Repeated Operations in Head Injury.
Chong Won Lee, Kyeong Seok Lee, Hack Gun Bae, II Gyu Yun, In Soo Lee
Department of Neurosurgery, Soonchunhyang University Chonan Hospital, Chonan, Korea.
Repeated operation in head injury is not uncommon. We experienced 46 repeated operations in 36 patients during 22-month-period. Rate of repeated operation is 14.6%. Occurrence of delayed or recurrent lesions was more common in the aged(mean=44years of age). Acute subdural hematoma was the most common initial lesion requiring repeated operation. The rate of repeated operation was relatively high in intracerebral hematoma(21.4%), acute subdural hematoma(16.0%), and chronic subdural hematoma(15.6%). The most common lesion requiring repeated operation was delayed intracerebral hematoma. Repeated operations were performed within 24 hours in 50% of the cases. Outcome at discharge was good recovery in 6, moderate disability in 12, severe disability in 8 and death in 10. It seemed to be related to the initial lesions rather the lesions requiring repeated operation. Even in the patients requiring repeated operations, early detection and appropriate management could improve the outcome. Early, repeated CT scans has almost importance especially in patients with certain risk of delayed or recurrent lesions.
Key Words: Head injury; Repeated operation; Repeated CT; Age; Outcome
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