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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,...

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Autores principales: Yang, Chaohua, Li, Qiang, Wu, Cong, Zan, Xin, You, Chao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Riyadh : Armed Forces Hospital 2014
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.
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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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