Clinical Analysis of Traumatic Intracerebral Hemorrhage

ABSTRACT

This retrospective analysis shows 87 patients who were admitted to our department of neurosurgery due to traumatic intracerebral hemorrhage(TICH) from June, 1990 to May, 1992. Our analyses were performed according to the patients's age, sex, operation, initial GCS, serum glucose level, platelet counts, mean arterial blood pressure, srterial CO2 and O2 level. Follow-up CT scans were performed post-operatively 1 day, and 2 weeks after the operation and in the cases that newly neurologic deficit were developed or developed or patients were not improved neurologically. The TICHs were located mainly on the frontal and/or temporal lobe(74%), and increased after craniotomy(68.6%). Other risk factors increasing the hematoma volume were poor neurologic status(GCS, or = 45 mmHg) level. The remaining factors, such as serum glucose level, number of platelets and mean arterial blood pressure did not influence the change of intracerebral hemorrhage.