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Traumatic Acute Subdural Hematomas And Parenchymal Contusion: Analysis Of Outcomes After Surgery At A Single Center

Author: 
Dr. Jaya Prakash Duraisamy and Dr. Rajkumar Ranganathan
Subject Area: 
Health Sciences
Abstract: 

Acute subdural hematoma (Acute SDH) and cerebral contusion that occurs following trauma carries higher morbidity and mortality in spite of recent developments in neurosurgery. Emergency surgical interventions without delay and proper ICU care are necessary for favourable clinical outcome. Aim: In the present study, we evaluated the patients admitted with head injury and analysed the outcome of the patient who diagnosed and operated for Cerebral Contusion and Acute Sub Dural Hematoma at various locations of brain. Materials and methods: This study was performed on 54 patients who were operated for traumatic acute subdural hematoma and Cerebral Contusion without any systemic injuries at a single centre. Gender of the patients, mechanism of trauma, Glasgow Coma Scale (GCS) score at the time of admission and on discharge, procedures such as Fronto Temporo Parietal (FTP) Decompression, Uni Frontal Decompression and Bi Frontal Decompression were studied in detail and outcomes are compared. Conclusion: Acute SDH, Temporo Parietal contusion and Frontal contusion following trauma was associated with high morbidity. FTP Decompressive Craniectomy done for Acute SDH or Contusion in Temporo Parietal region has better prognosis when compared to Unifrontal/Bifrontal Decompression done for contusion or Acute SDH in Frontal region.

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