ABSTRACT
The authors analyzed 125 cases with chronic subdural hematoma admitted to the Department of Neurosurgery, Masan Koryo General Hospital from March 1987 until February 1992. The results obtained were as follows. 1) The male to female ratio was 4.9:1 and the incidence was predominant in the patients whose ages were over 50. 2) Antecedent history of head trauma was found in 79 cases(63%). 3) In 70 cases(56%), the density of hematoma shown on CT scan was low. In patients of under 60 years of age, the shape of hematoma was planoconvex, crescent, biconvex in the order of frequency whereas in patients of over 60, the sequence changed to biconvex, crescent, planoconvex. 4) In our series, the patients younger than 60 were managed either with burr hole drainage(40 cases) or craniotomy(34 cases), while the patients older than 60 were treated with burr hole drainage(45 cases) and craniotomy(6 cases). 5) Total mortality rate was 2.4%(3 cases). We have found a significant association between the neurologic grade at admission and prognosis of a patient.
Subject(s)
Female , Humans , Male , Craniocerebral Trauma , Craniotomy , Hematoma , Hematoma, Subdural, Chronic , Hospitals, General , Incidence , Mortality , Neurosurgery , Prognosis , Tomography, X-Ray ComputedABSTRACT
The authors had studied 96 cases of traumatic intracerebral hematoma surgically treated in the Department of Neurosurgery, Masan Koryo Hospital from January 1987 to December 1991. The results were as follows: 1) The patients' age ranged from 8 to 73 years and sex distribution was dominant in male. 2) The most common cause of traumatic intracerebral hematoma was fall. 3) The most common site of hematoma was frontal lobe, followed by temporal lobe. 4) The neurologic status on admission was closely related to prognosis. 5) DTICH(Delayed traumatic intracerebral hematoma) was found in 7 cases(28.1%) which had poor prognosis. 6) Total mortality rate was 28.1%.