title: [Peculiarities of clinical course and factors impacting the results of surgical treatment of intracerebral hematoma in isolated cranio-cerebral trauma].
abstract: Peculiarities of clinical course of intracerebral hematoma (ICH) in isolated cranio-cerebral trauma (CCT), and factors, influencing the surgical treatment results, were analyzed. Medical histories of 188 injured persons, suffering isolated CCT, were analyzed, in 14 of them ICH was revealed. In isolated CCT the brain contusion focus, revealed in first hours after trauma, in accordance to CT of the brain data, during 10 - 12 h may be transformed into ICH, with increase of the brain oedema severity, what constitutes bad prognostic sign. There are following unfavorable factors: severe state of the injured person while his admittance to hospital, decompensation of the CCT course, elderly age, absence of treatment on prehospital stage, the operation performance later than in 1 - 2 h after admittance to hospital, occurrence of cerebral and extracerebral complications postoperatively, including focus of encephalomalacia, meningoencephalitis, and pulmonary complications as well.
authors.forename: A O
authors.initials: AO
authors.lastname: Mirzoian
authors.forename: D A
authors.initials: DA
authors.lastname: Patrikian
authors.forename: M A
authors.initials: MA
authors.lastname: Egunian
mesh_terms: D000368:Aged; D001929:Brain Edema / Q000000981:diagnostic imaging / Q000209:etiology; D006259:Craniocerebral Trauma / Q000150:complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D006801:Humans; D020198:Intracranial Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D008499:Medical Records; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology; D012737:Sex Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D015599:Trauma Severity Indices; D016896:Treatment Outcome