[Measurement of intracranial pressure as a factor in the prognosis of the course of serious cranio-encephalic injuries].
We have analyzed the course and outcome in 100 consecutive cases with severe head injuries, all were treated in a uniform manner. Surgery was performed immediately in patients with extracerebral or intracerebral hematomas. Intracranial pressure (ICP) was monitored in all. Forty-five patients recovered with no or minimal neurological deficit, fifteen patients are moderately disabled, four are severely disabled and eight remain in a persistent vegetative state. The mortality was 28%. The favourable outcome in this series suggests that control of intracranial hypertension with careful attention to medical complication can improve the outcome in patients with severe head injuries.
Arrotegui
J I
JI
Dpto. de Neurocirugía, Hospital General de Newcastle, Gran Bretaña, Reino Unido, España.
Sengupta
R
R
Mendelow
D
D
D000328:Adult; D001921:Brain / Q000473:pathology* / Q000601:surgery; D006406:Hematoma / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000150:complications*; D007427:Intracranial Pressure; D009460:Neurologic Examination; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome