ABSTRACT
In this study, relationship between computerized tomography [CT] scan findings with signs, symptoms and Glascow coma scale [GCS] of head injured patients were studied. In this descriptive study, 373 CT scan of 3 12 patients were studied that among them, 290 patients were hospitalized and 22 patients were treated as OPD cases. CT scan findings, GCS changes and clinical findings were assessed. Sixty two percent of the patients had mild head injury, 38% had moderate to severe head injury, and 42% of patients with mild head injury had normal CT scan. There was a significant relationship between CT scan findings, clinical findings and GCS [p=0.001]: two-third of patients with mild head injury had normal CT scan and one-third had brain edema. 53% of patients with severe head injury had brain edema and 28% had intracranial hematoma. 84% of patients with focal neurological deficit had extraaxial hematoma and 41% of unconscious patients had intracranial hematoma. As most of CT scan finding in patients with mild head injuries was brain edema, it seems not necessary for scanning in this group. Patients with the low GCS and severe head injury had the abnormal CT scans. So it must be chosen the patients according to clinical findings
ABSTRACT
Introduction: Delayed intracranial hematoma after head trauma is an important complication that must be considered much more in our neurosiirgical departments. These hematomas may be intra. or extraaxial. The purpose of this study is to determine the incidence, Complications and mortality rates of delayed intracranial hemorrhages and describe there, pathophysiology, clinical and radiological presentations
Material and Methods: Prospectively from March 2000 to February 2002, 1806 patients with posttraumatic intracranial hemorrhages were admitted at neurosurgical department of Shahid Kamyab Hospital . Many of them underwent operation
Results:1308 cases of the 1806 patients underwent craniotomy and hematoma removal. Among these cases 247 patients [about 13.6% of cases] had delayed intracranial hematoma [EDH, SDK orlCH]. Delayed intracranial hematoma after head injury is a frequent and potentially devastating problem
Conclusion: Few clinical studies showed the effects of vascular disorders and blood dyscrasias in higher incidence of delayed intracranial hematomas. Identification of patients at aricular risk for delayed intracranial hematoma, use of ICP monitoring in selected patients and prompt application of CTScan all can improve the early recognition of this complication of head injury. Early recognition and prompt treatment are both essential for optimal Management