J Korean Neurosurg Soc.  1991 Jul;20(7):505-510.

Clinical Analysis of Bilateral Traumatic Intracranial Hematomas

• Park YR
• Hong SK
• Hu C
• Kim HJ
• Han YP

Abstract

The authors analyzed 38 cases with bilateral traumatic intracranial hematoma accroding to teir etiology, impact site, brain computerized tomographic findings, initial Glasgow Coma Scale(GCS) and follow-up Glasgow Outcome Scale(GOS). 1) Bilateral traumatic intracranial hematoma occurred in 38 of the 1358 head injured patients, for an incidence of 2.8%. 2) The important factors affecting on patients' outcome were initial GCS(P>0.001) and effacement of the midline CSF space such as 3rd ventricle, basal and quadrigeminal cistern on initial brain CT scan(P<0.0001). 3) The degree of midline shift on initial brain CT scan did not significantly affect on patients' outcome(p=0.0887). 4) The patients' outcome of bilateral hematoma was good(63%), bad(37%) and the mortality was 15.7%.

Keyword

Head injury; Bilateral intracranial hematoma; Computerized tomography; Glasgow coma scale; Glasgow outcome scale

MeSH Terms

Brain
Coma
Craniocerebral Trauma
Follow-Up Studies
Glasgow Coma Scale
Glasgow Outcome Scale
Head
Hematoma
Humans
Incidence
Intracranial Hemorrhage, Traumatic*
Mortality
Tomography, X-Ray Computed