Influence of intracranial hematomas location on mortality in surgical treatment of patients with solitary craniocerebral trauma

H.H. Mirzoyan, D.A. Patrikyan, M.A. Egunyan

Department of Neurosurgery, National Medical Center «Armenia», Yerevan, Republic of Armenia

Retrospective analysis of medical records in 2087 patients with isolated traumatic brain injury (TBI) showed that 1899 of them were treated conservatively, 188 – were operated.

Surgical treatment was performed for 151 (80,3%) patients with intracranial hematomas, for 37(19.7%) patients due of depressed skull fracture. In 83 (55,0 %) patients found epidural hematoma (EH), in 38 (25,1%) – subdural hematoma (SH), in 14 (9,3%) – intracerebral hematoma (IH). In 16 (10,6%) patients is revealed multiple (story-like) hematoma (MH): in 6 – and intracerebral and subdural component, in 5 – epidural and intracerebral, in 5 – epidural and subdural.

On mortality rate from intracranial hematomas quite strongly influences the hematoma localization. Thus, if EH mortality was only 3,6%, while in other localizations – from 25,0% to 42,9%. Moreover, mortality was higher in patients with intracranial hematoma, or MH, which has intracerebral component.

Presented facts also argue that the mortality of patients with intracranial hematoma in e surgical treatment depends on hematoma location more than time of surgery.

Keywords: isolated traumatic brain injury, intracranial hematoma , depressed skull fracture , epidural hematoma.

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