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. 2017 Feb;79(1):19-23.
doi: 10.1007/s12262-015-1416-3. Epub 2015 Dec 16.

Bilateral Traumatic Intracranial Hematomas and its Outcome: a Retrospective Study

Sharad Pandey  1   2 , Vivek Sharma  1 , Kulwant Singh  1 , Deepa Pandey  3 , Mukesh Sharma  1 , Deepak Bhanudas Patil  1 , Neeraj Shende  1 , Richa Singh Chauhan  4
Affiliations

Bilateral Traumatic Intracranial Hematomas and its Outcome: a Retrospective Study

Sharad Pandey et al. Indian J Surg. 2017 Feb.

Abstract

The objective of this study was to evaluate the age distribution, mode of injury, type of hematomas, and their surgical outcome in patients with bilateral traumatic head injuries. The present study included 669 cases of traumatic head injury who presented at the neurosurgery emergency out of which 94 cases had bilateral head injuries from the period of August 2009 to April 2014. The data from the hospital computerized database were retrospectively analysed. Cases of bilateral traumatic head injury included 94 patients out of which 88.29 % (n = 83) were males and 11.70 % (n = 11) were females. Commonest mode of injury was road traffic accident in 56.38 % (n = 53) followed by fall from height in 29.78 % (n = 28). In our study, 25.53 % patients had epidural hematoma (EDH) with intracerebral hematoma (ICH) or contusion (n = 24), followed by EDH with subarachnoid hemorrhage (SAH) in 18.08 % (n = 17). At the time of discharge, all those patients managed conservatively had good Glasgow outcome scale (GOS) while with surgical intervention 58 % patients had good GOS, 19 % had moderate disability, and 9 % remained with severe disability. In cases of bilateral hematomas, EDH is most common and should be managed in neurosurgical emergency. Other combinations of bilateral intracranial hematomas should be managed according to the surgical indication and serial CT imaging.

Keywords: Bilateral hematomas; Bilateral traumatic head injury; CT imaging; Glasgow outcome scale.

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Conflict of interest statement

Conflict of Interest

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Graphical representation of outcome of surgically managed bilateral head injury patients
Fig. 2
Fig. 2
a, b, c Preoperative and postoperative CT image of a large epidural hematoma in the left temporoparietal area and intracerebral hematoma in the right temporal lobe. d, e, f, g, h, i, j, k Various combinations of bilateral traumatic intracerebral hematomas EDH with EDH, ICH/contusion with ICH/contusion,SAH with EDH, SAH with SAH, SAH with SDH, SDH with ICH/contusion, acute on chronic SDH with SDH, and EDH with ICH
See this image and copyright information in PMC

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