Volume : VI, Issue : II, March - 2022
INTRODUCTION: Traumatic ain injuries (TBIs) are a leading cause of mortality, disability and socioeconomic losses globally. The associated ain damage and effects of the injury is complex and hence the outcome is highly variable, articularly in patients who undergo Decompressive Craniectomy. Many factors have been identified to influence the morbidity and mortality in such patients. AIMS: This study aimed to detect prognostic factors that can be used to predict outcome in the management of traumatic acute subdural hemorrhage(SDH) patients undergoing Decompressive Craniectomy.MATERIAL & METHODS: The study was done at department of neurosurgery at Institute of Postgraduate Medical Education and Research, Kolkata from August 2017 to November 2019. Patients admitted with Traumatic acute SDH were included based on the inclusion and exclusion criteria and studied on various parameters.OBSERVATION & RESULTS: Among the various prognostic factors studied Abnormal pupils, low GCS at admission, >15mm Midline shift in NCCT Brain and completely effaced basal Cistern on CT scan were associated with the worst outcome but age, gender, External Injury and Associated Internal Injury do not bear a strong relationship with outcome, so they were not predictive factors in this study and caution should be taken when considering these factors in the surgical decision.CONCLUSION: The core of the decision-making process for traumatic acute SDH should be built not only by intrinsic hematoma features but also by prognostic factors that may help predicting the outcome and establishing a reasonable approach considering the invasiveness and aggressiveness of the therapeutic measures.
A PROSPECTIVE LONGITUDINAL CLINICAL STUDY OF PATIENTS ADMITTED WITH TRAUMATIC ACUTE SUBDURAL HEMORRHAGE AND UNDERGOING DECOMPRESSIVE CRANIECTOMY WITH SPECIAL REFERENCE TO PROGNOSTIC FACTORS , Harish Chandra Gupta, Sanjeev Kumar Chhabra, Shriram Gupta, Subhasis Ghosh, Sudipta Chatterjee, INTERNATIONAL JOURNAL OF ADVANCED MEDICINE : Volume-6 | Issue-2 | March-2022