Results of Various Modalities of Treatment For Acute Subdural Hematomas in The Department of Neurosurgery, Abbasi Shaheed Hospital, One Year Review Study
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Results of various modalities of treatment for acute subdural hematomas in the department of neurosurgery, abbasi shheed hospital, one year review study. Mortality was 57% among 35 patients who underwent craniotomy and it was 5% among 58 patients who were treated conservatively. Functional recovery was observed in 66.6% of all the patients (91.3% in conservative group while 25.7% in operated group) all of 15 patients with a GCS score 5 and below expired
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results of various modalities of treatment for acute subdural hematomas in the department of neurosurgery, Abbasi Shaheed Hospital, one year review study
Results of various modalities of treatment for acute subdural hematomas in the department of neurosurgery, abbasi shheed hospital, one year review study. Mortality was 57% among 35 patients who underwent craniotomy and it was 5% among 58 patients who were treated conservatively. Functional recovery was observed in 66.6% of all the patients (91.3% in conservative group while 25.7% in operated group) all of 15 patients with a GCS score 5 and below expired
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0 valutazioniIl 0% ha trovato utile questo documento (0 voti)
68 visualizzazioni1 pagina
Results of Various Modalities of Treatment For Acute Subdural Hematomas in The Department of Neurosurgery, Abbasi Shaheed Hospital, One Year Review Study
Results of various modalities of treatment for acute subdural hematomas in the department of neurosurgery, abbasi shheed hospital, one year review study. Mortality was 57% among 35 patients who underwent craniotomy and it was 5% among 58 patients who were treated conservatively. Functional recovery was observed in 66.6% of all the patients (91.3% in conservative group while 25.7% in operated group) all of 15 patients with a GCS score 5 and below expired
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Acute subdural hematoma (ASDH) is associated with high mortality. The treatment of ASDH varies according to the size, clinical condition and age, throughout the world. This study analyses the outcome of patients with ASDH who were treated surgically or conservatively. Methods: The outcome of the conservative and surgically treated patients was studied retrospectively with 2 months follow up from the day of injury. 93 patients were admitted and treated in the department of neurosurgery, Abbasi Shaheed hospital, from January 2008 to December 2008. 58 patients were treated conservatively and 35 patients were selected for surgical intervention. All the patients were categorized according to level of consciousness, size of hematoma, presence or absence of anisocoria, hemi paresis or seizures, progress of the clinical as well as size of hematomas, associated intracranial findings like subarachnoid hemorrhage & contusions and conservative and operative treatments etc. The results in each category are evaluated and compared with standard institutions. The outcome among various subgroups according to timings of surgery and procedures are also compared. Results: The mortality was 57% among 35 patients who underwent craniotomy and it was 5% among 58 patients who were treated conservatively. Functional recovery was observed in 66.6% of all the patients (91.3% in conservative group while 25.7% in operated group).84.6% of patients with Glasgow Coma Scale (GCS) score (9–15) and 57.14% of patients with GCS score (6–8) fully recovered. All of 15 patients with a GCS score 5 and below expired. The mortality was 80% of patients over 50 years old, in comparison with 40% mortality for those aged below 50 years. 100% of patients with bilateral non- reactive pupils and 42.8 % of patients with unilateral non-reactive pupil expired. Among the patients with associated intracranial injuries mortality rates were 95% in contusions & intracerebral hematoma, and 75% in subarachnid hemorrhage. 3 patients (5%) among conservative group died, all were above 50 years. Among them one patient had COPD, and another was a known case of ischemic heart disease. Conclusions: Level of consciousness and pupillary reaction were the most significant factors for predicting recovery. Age and associated intracranial injuries were correlated to result.