Surgical outcome of acute traumatic intracranial hematomas in pediatric age group

ABSTRACT

Fifty patients had traumatic intracranial hematomas in pediatric age group were treated surgically. The surgical outcome was evaluated for survivals during 12 months after injury. They constituted 6% of all pediatric head injuries required hospital admission. 32 patients had acute epidural hematoma, 10 had acute subdural, hematoma, and 8 had acute intracerebral hematoma. Good recovery was achieved in 84% of patients who had acute epidu ral hematoma, while high mortality was reported in those who had acute subdural and acute intracerebral hematomas [50% and 3 7.5% respectively]. Correlation between post resuscitation GCS scores and outcome was parallel together, as good recovery was achieved in 89% with no mortality in patients presented with G.C.S scores of 13-15, while good recovery was 13% with 53% mortality in those presented with GCS scores of 3-8. Presence of systemic injuries and shock had adverse influence on the outcome, as mortality was higher in patients who had systemic injuries than in those had head injury alone [40% and 17.5% respectively] and mortality was also higher in. patients who had shock on admission than in those had head injury alone [44% and 17% respectively]