Traumatic Intracerebral Hemorrhage : Clinical and Radiological Outcomes at Qena University Hospitals

Abstract

Background: Traumatic brain injury (TBI) is considered the most common cause of death and disability among young individuals, Traumatic intracerebral hemorrhage (TICH) is a common complication of traumatic brain injury. It represents the leading cause of morbidity and mortality in individuals also it is known to be the most important determinant of outcome in polytraumatic patient. Objectives: Evaluation of the clinical and radiological outcomes in patients with traumatic intracerebral hemorrhage admitted to Neurosurgery department at Qena university hospitals. Patients and methods: This study was conducted by collecting data from the records of 37 patients with traumatic intracerebral hemorrhage admitted to Neurosurgery Department, Qena University Hospital, South Valley University, from February 2021 to November 2021. Patients selected for the study will be evaluated based on history, general examination, neurological examination using Glasgow coma scale and radiological findings, evaluation using Extended Glasgow outcome scale (GOSe)and disability rating scale (DRS). Results: There was statistically significant relation between mortality and Glasgow coma scale (p˂0.05). There was no statistically significant relation between mortality and age, gender, mechanism of injury, intensive care unit admission as well as surgical interventions (p˃0.05). On the other hand, patients who did not survive showed lower GCS as well as GOSe when compared to patients who survived. Conclusion: Traumatic intracerebral hematoma is a serious condition that prompts rapid management. Glasgow coma scale is a predictor to determine outcome in cases of traumatic intracerebral hematoma.

Keywords

• traumatic; intracerebral hematoma; glasgow coma scale