Traumatic Acute Sub - Dural Haematoma: Clinico - Operative study Evaluation of Factors Affecting the Prognosis

ABSTRACT

25 cases of acute subdural haematoma [ASDH.] are reported, they were diagnosed among a total number of 327 cases of severe head injury in the ambulance center in Matariah Teaching Hospital between 1996-2000. Depending on CT scan finding as well as the clinical picture of the patients we have 3 groups of patients group A in which acute sub dural haematoma is accompanied with brain laceration, group B in which the acute sub dural haematoma is accompanied with brain contusion, and finally group C in which there is only acute sub dural haematoma without brain laceration or contusion. It had been emphasized that the early surgical intervention, the rapid aggressive intensive management, the young age, and the absence of parenchymatous brain injury in the form of laceration, contusion and brain edema, are the factors which improve the outcome in these cases of ASDH