The Clinical Evaluation of Our Operative Results in 744 Cases of Traumatic Intracranial Hematoma

Intracranial hematoma was discussed in the following because of its poorest prognosis among the 14,318 cases of head trauma in past 6 years since 1964. Seven hundreds fourty four cases (5.2%) were undergone operative intervention and operative mortality recorded 135 cases (18.1%). Eighty four cases died even after energic conservative therapy and patient number who died at emergency room amounted 97 in cases. Overall mortality recorded 316 cases which occupy 2.2% of the entire group. Five hundreds fifty cases of intracranial hematoma or hydroma were operated upon in which the mortality rate recorded 23.1% in epidural hematoma, 42.8% in subdural hematoma, 1.6% in subdural hydroma, 40% in intracerebral hematoma and 25.7% in combined cases. The genuine epidural hematoma amounted 78 cases out of total 164 cases of epidural or combined hematoma. The 60 survival cases have elapsed satisfactory prognosis with or without minimal neurological sequella and early diagnosis plus early operation is strongly desirable in this group. The genuine subdural hematoma recorded 152 cases out of total 216 cases of epidural or combined hematoma which shows high mortality of 42.8% whereas combined cases with epidural hematoma shows 44.4% in mortality