RESUMO
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