Surgical Management of Closed Head Injury | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 7, Volume 78, Issue 1, January 2020, Pages 48-55 PDF (861.39 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2020.67676 | ||
| Authors | ||
| Ahmed Swailam Mohamed* ; Mahmoud Mahmoud El Hendawy; Shymaa Adel Ismail | ||
| Department of Neurosurgery, Faculty of Medicine for girls Al-Azhar University | ||
| Abstract | ||
| Background: Closed-head injury is a type of traumatic brain injury in which the skull and dura mater remain intact. Closed-head injuries are the leading cause of death in children under 4 years old and the most common cause of physical disability and cognitive impairment in young people. Objective: The study aimed to evaluate cases of closed head injury as regard clinical picture, investigations, surgical management, outcome, and prognosis. Patient and methods: A prospective study was conducted on Sixty Two patients, twenty two of them were subjected to surgery. Many preoperative factors were studied to evaluate the prognosis of such cases. Results: Among 62 cases, 22 cases were submitted to surgery 17 extradural hematomas (EDH) were submitted to surgery, some associated with sub arachnoid hemorrhage (SAH) and acute subdural hematomas (SDH). Conclusion: Early diagnosis and management of primary lesion of closed head injury is very important to prevent secondary brain injury. | ||
| Keywords | ||
| Glasgow coma scale; post-concussion syndrome; Computerized tomography; Traumatic brain injury | ||
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