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Abstract
Of 100 patients who required operation for severe head injury with acute subdural
hematoma, 25 survived. Fourteen survivors recovered completely. Seventy-five patients
died. Few factors distinguished the postinjury course of those who lived from that
of those who did not. Advanced age, preoperative shock, large bilateral subdural hematomas,
gross disruption of brain, and inadequate removal of hematoma through burr holes were
more often associated with death. An accurate forecast of outcome was not possible
from the preoperative neurologic signs. Consequently, we favor early diagnostic studies
including angiography when time permits, thorough removal of the hematoma usually
by craniotomy, and vigorous postoperative management often including angiography and
a second operation.
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Article info
Publication history
Accepted:
October 10,
1973
Footnotes
☆This work was supported in part by Trauma Center Program Project Grant No. GM-18470 and NINDS Training Grant No. 5593.
Identification
Copyright
© 1974 Published by Elsevier Inc.
