A Study of Traumatic Intracerebral Haematomas in a Teaching Hospital of Central India

Abstract

BACKGROUNDA study of 50 cases of Traumatic Intracerebral Haematomas was carried out to study the factors affecting management and prognosis. Incidence of Intracerebral Haematomas was more than other Intracranial Haematomas. Young male adults were affected most. Vehicular accident was the commonest mode of injury. Computed tomography was the definitive investigation. Hypertension, bradycardia and associated convulsions carried bad prognosis. Glasgow Coma Scoring was a good indicator of outcome. Commonest site was the Temporal Lobe, Multiple Haematomas and Haematomas involving Brainstem and Basal-Ganglia carried poor prognosis. Mortality was 61.53% and 33.3% in operated and non-operated groups respectively. Most small Haematomas (<15 mm on CT scan) were treated conservatively, whereas the large ones (>25 mm) surgically.