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Management of traumatic intracerebral hematoma

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

El-Basyouni, Fahim A. , Ebrahim, Ebrahim M. , El-Massri, Muhammad A.

Authors

Aly, Muhammad Husain Muhammad

Accessioned

2017-07-12 06:40:28

Available

2017-07-12 06:40:28

type

M.Sc. Thesis

Abstract

Traumatic intracerebral hematoma is very common disorder in clinical practice. Intracerebral hemorrhage is defined as hemorrhage within the brain parenchyma. Traumatic intracerebral hematoma occurs in up to 15% of patients following head injury. Overall, trauma is the most common cause of intracerebral hemorrhage. The aim of this study is to review the literature and recent publications regarding this condition and to clarify guidelines of management of traumatic Intracerebral Hematoma regarding the presentation, management protocol and prognosis.This may help us gain further insight into its management protocol and thus improve the care given to our patients. This study was done prospectively on 14 patients admitted to Kasr El-Aini Neuro-emergency center, all with traumatic intracerebral hematomas. Patients were selected so as to be equally divided into two groups: isolated and associated traumatic intracerebral hematomas. All data regarding these patients were reviewed, including age, sex, medical history, clinical presentation, radiological findings and prognosis. The management protocols were also maintained for each group. After comparing the results, it was found that, the mortality rate for isolated group was lower than that of associated group, and the outcome was much better for the isolated group than that of associated group.Younger age and higher GCS score at presentation were strongly related to a favorable outcome for both types of TICH. Also, it is recommended that management of TICH should be aggressive and surgery should always be considered whenever indicated.

Issued

1 Jan 2012

DOI

http://dx.doi.org/10.21473/iknito-space/35477

Details

Type

Thesis

Created At

05 Feb 2023