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Surgical treatment of traumatic multiple intracranial hematomas
OBJECTIVE: To summarize our experience with the surgical treatment of traumatic multiple intracranial hematomas (TMIHs) and discuss the surgical indications. METHODS: We analyzed the clinical data of 118 patients with TMIHs who were treated at the West China Hospital in Sichuan University, Chengdu,...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Riyadh : Armed Forces Hospital
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727670/ https://www.ncbi.nlm.nih.gov/pubmed/25274591 |
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author | Yang, Chaohua Li, Qiang Wu, Cong Zan, Xin You, Chao |
author_facet | Yang, Chaohua Li, Qiang Wu, Cong Zan, Xin You, Chao |
author_sort | Yang, Chaohua |
collection | PubMed |
description | OBJECTIVE: To summarize our experience with the surgical treatment of traumatic multiple intracranial hematomas (TMIHs) and discuss the surgical indications. METHODS: We analyzed the clinical data of 118 patients with TMIHs who were treated at the West China Hospital in Sichuan University, Chengdu, China between October 2008 and October 2011, including age, gender, cause of injury, diagnosis, treatment, and outcomes. RESULTS: Among the 118 patients, there were 12 patients with different types of hematomas at the same site, 69 with one hematoma type in different compartments, and 37 with different types of hematomas in different compartments. In total, 106 patients had obliteration of basal cisterns, and 34 had a simultaneous midline shift ≥5 mm. Eighty-nine patients underwent single-site surgery, 19 had 2-site surgeries, and 10 patients did not undergo surgery. Based on the Glasgow Outcome Scale 6 months post-injury, 41 patients had favorable outcomes, and 77 had unfavorable outcomes. Basal cisterns obliteration was a strong indicator for surgical treatment. Single- or 2-site surgery was not related to outcome (p=0.234). CONCLUSION: Obliteration of the basal cisterns is a strong indication for surgical treatment of TMIHs. After evacuation of the major hematomas, the remaining hematomas can be treated conservatively. Most patients only require single-site surgical treatment. |
format | Online Article Text |
id | pubmed-4727670 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Riyadh : Armed Forces Hospital |
record_format | MEDLINE/PubMed |
spelling | pubmed-47276702016-02-02 Surgical treatment of traumatic multiple intracranial hematomas Yang, Chaohua Li, Qiang Wu, Cong Zan, Xin You, Chao Neurosciences (Riyadh) Original Article OBJECTIVE: To summarize our experience with the surgical treatment of traumatic multiple intracranial hematomas (TMIHs) and discuss the surgical indications. METHODS: We analyzed the clinical data of 118 patients with TMIHs who were treated at the West China Hospital in Sichuan University, Chengdu, China between October 2008 and October 2011, including age, gender, cause of injury, diagnosis, treatment, and outcomes. RESULTS: Among the 118 patients, there were 12 patients with different types of hematomas at the same site, 69 with one hematoma type in different compartments, and 37 with different types of hematomas in different compartments. In total, 106 patients had obliteration of basal cisterns, and 34 had a simultaneous midline shift ≥5 mm. Eighty-nine patients underwent single-site surgery, 19 had 2-site surgeries, and 10 patients did not undergo surgery. Based on the Glasgow Outcome Scale 6 months post-injury, 41 patients had favorable outcomes, and 77 had unfavorable outcomes. Basal cisterns obliteration was a strong indicator for surgical treatment. Single- or 2-site surgery was not related to outcome (p=0.234). CONCLUSION: Obliteration of the basal cisterns is a strong indication for surgical treatment of TMIHs. After evacuation of the major hematomas, the remaining hematomas can be treated conservatively. Most patients only require single-site surgical treatment. Riyadh : Armed Forces Hospital 2014-10 /pmc/articles/PMC4727670/ /pubmed/25274591 Text en Copyright: © Neurosciences https://creativecommons.org/licenses/by/3.0/Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. |
spellingShingle | Original Article Yang, Chaohua Li, Qiang Wu, Cong Zan, Xin You, Chao Surgical treatment of traumatic multiple intracranial hematomas |
title | Surgical treatment of traumatic multiple intracranial hematomas |
title_full | Surgical treatment of traumatic multiple intracranial hematomas |
title_fullStr | Surgical treatment of traumatic multiple intracranial hematomas |
title_full_unstemmed | Surgical treatment of traumatic multiple intracranial hematomas |
title_short | Surgical treatment of traumatic multiple intracranial hematomas |
title_sort | surgical treatment of traumatic multiple intracranial hematomas |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727670/ https://www.ncbi.nlm.nih.gov/pubmed/25274591 |
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