Multiple hematoma in patients with isolated traumatic brain injury and the factors influencing the outcome of its surgery treatment

Abstract

The aim is to study the peculiarities of the clinical course and to identify factors influencing the surgery outcomes of isolated traumatic intracranial multiple hematoma. The retrospective analysis was performed. 188 medical records of patients with isolated traumatic brain injury (ITBI), who were operated in various hospitals of the Republic of Armenia, were studied. Intracranial multiple hematoma (IMH) had two components located directly one above another in two different intracranial spaces - epidural, subdural or intracerebral. It was detected in 16 patients. Conclusions: The surgery of isolated traumatic intracranial multiple hematoma is rare. The clinical course of IMH is most severe in elderly patients. CT scan detects IMH in less than 50 % of cases. IMH is detected during the operation in most of the cases. There are many factors negatively affecting the IMH outcomes. These are the severe state of patients (different stages of clinical decompensation), cardiovascular diseases, the lack of therapeutic treatment in the pre-hospital period, the operation performed with a delay of 2 hours after the patient's reception, the intracerebral component of IMH, the cerebral and extracerebral complications, in particular, encepha-lomalacia and pulmonary complications.