J Korean Neurosurg Soc.  1990 Jun;19(6):798-805.

A Clinical Study of Traumatic Intracerebral Hemorrhage

Affiliations
  • 1Department of Neurosurgery, School of Medicine, Chungnam National University, Taejeon, Korea.

Abstract

125 cases of traumatic intracerebral hematoma among 935 head injury in-patients were diagnosed with brain computed tomography in the department of neurosurgery, Chungnam National University hospital from Feb. 1986 to Feb. 1990. The authors attempted to analyse these cases clinically by reviews them with pertinent literature. The results were summarized as follows ; 1) The common age incidence was between fifth and sixth decade and almost all patients were male. 2) The most common cause of trauma was traffic accident. 3) The most common site of hematoma was the frontal lobe followed by temporal lobe. 4) There were 39 cases(31.2%) that had hematoma with contralateral skull fracture. 5) Subdural hematoma was the most common combined single lesion. 6) Almost all of the medically treated patients had a hematoma amount below 20cc. 7) The total mortality rate of the patients was 27.2%. 8) High GCS score at admission was good prognostic factor. However, pupil abnormality and rigidity at admission were poor prognostic factors.

Keyword

Intracerebral hematoma; CT scan; Frontal lobe; GCS score

MeSH Terms

Accidents, Traffic
Brain
Cerebral Hemorrhage, Traumatic*
Chungcheongnam-do
Craniocerebral Trauma
Frontal Lobe
Hematoma
Hematoma, Subdural
Humans
Incidence
Male
Mortality
Neurosurgery
Pupil
Skull Fractures
Temporal Lobe
Tomography, X-Ray Computed
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