Bilateral Traumatic Intracranial Hematomas and its Outcome: a Retrospective Study.
The objective of this study was to evaluate the age distribution, mode of injury, type of hematomas, and their surgical outcome in patients with bilateral traumatic head injuries. The present study included 669 cases of traumatic head injury who presented at the neurosurgery emergency out of which 94 cases had bilateral head injuries from the period of August 2009 to April 2014. The data from the hospital computerized database were retrospectively analysed. Cases of bilateral traumatic head injury included 94 patients out of which 88.29 % (n= 83) were males and 11.70 % (n= 11) were females. Commonest mode of injury was road traffic accident in 56.38 % (n= 53) followed by fall from height in 29.78 % (n= 28). In our study, 25.53 % patients had epidural hematoma (EDH) with intracerebral hematoma (ICH) or contusion (n= 24), followed by EDH with subarachnoid hemorrhage (SAH) in 18.08 % (n= 17). At the time of discharge, all those patients managed conservatively had good Glasgow outcome scale (GOS) while with surgical intervention 58 % patients had good GOS, 19 % had moderate disability, and 9 % remained with severe disability. In cases of bilateral hematomas, EDH is most common and should be managed in neurosurgical emergency. Other combinations of bilateral intracranial hematomas should be managed according to the surgical indication and serial CT imaging.
Department of Neuro Surgery, Sir Sunder Lal Hospital, IMS, BHU, Varanasi, Uttar Pradesh 221005 India.|Department of General Surgery, Government Medical College, Rajindra Hospital, Patiala, Punjab India.
Sharad
0000-0002-3542-5864
S
Pandey
Department of Neuro Surgery, Sir Sunder Lal Hospital, IMS, BHU, Varanasi, Uttar Pradesh 221005 India.
Vivek
V
Sharma
Department of Neuro Surgery, Sir Sunder Lal Hospital, IMS, BHU, Varanasi, Uttar Pradesh 221005 India.
Kulwant
K
Singh
Department of Clinical Microbiology, Central Hospital DLW, Varanasi, Uttar Pradesh 221004 India.
Deepa
D
Pandey
Department of Neuro Surgery, Sir Sunder Lal Hospital, IMS, BHU, Varanasi, Uttar Pradesh 221005 India.
Mukesh
M
Sharma
Department of Neuro Surgery, Sir Sunder Lal Hospital, IMS, BHU, Varanasi, Uttar Pradesh 221005 India.
Deepak Bhanudas
DB
Patil
Department of Neuro Surgery, Sir Sunder Lal Hospital, IMS, BHU, Varanasi, Uttar Pradesh 221005 India.
Neeraj
N
Shende
Department of Radio diagnosis, Sir Sunder Lal Hospital, IMS, BHU, Varanasi, Uttar Pradesh 221005 India.
Richa Singh
RS
Chauhan
Bilateral hematomas; Bilateral traumatic head injury; CT imaging; Glasgow outcome scale