ABSTRACT
Sixty-four severely head injured patients with absence of basal cisterns on initial CT scan were studied from January 1986 to March 1989. None had good recovery at 6 months follow-up period. The result from logistic regression analysis pointed to the GCS at 24 hours following injury as an independent, significant outcome predictor. Conventional treatment is not suitable for these patients. Earlier and more aggressive therapy should improve their outcome.
Subject(s)
Adolescent , Adult , Aged , Child , Child, Preschool , Coma/etiology , Craniocerebral Trauma/diagnostic imaging , Female , Glasgow Coma Scale , Humans , Male , Middle Aged , Predictive Value of Tests , Regression Analysis , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Clinical analysis of 120 adult patients with chronic subdural haematoma admitted into the Department of Surgery Siriraj Hospital showed that the majority of them (75%) were male with the highest incidence during 51ข90 year of age 70% of cases) followed by age range 21ข50 (30% of cases). The ratio of male to female was 3: 1. Ninety four patients gave history of minor head trauma without loss of consciousness. A rather insidious onset of progressive headache plus focal neurological deficits was the main symptoms and signs which led to medical intention. Computerized tomography of the brain was the brain was the investigation of choice. All 120 cases were operated upon for removal of lesions by Burr holes and drainage. The result of operative treatment was excellent and there was no operative death in this series.