Ali Akbar, Safdar Hussain Arain, Mumtaz Ali Narejo, Najmus Saqib Ansari

Previous Published Issues

Prognostic Factors after Acute Subdural Hematoma

Ali Akbar, Safdar Hussain Arain, Mumtaz Ali Narejo, Najmus Saqib Ansari



Background: Acute subdural hematoma is a lesion caused by traumatic brain injury. Computed topography, hematoma thickness and midline shift analysis are important factors in evaluating its prognosis.

Aim: To evaluate the factors involved in prognosis of acute subdural hematoma.

Study design: Retrospective study

Place and duration of study: Department of Neurosurgery, Chandka Medical College Hospital, Larkana from 1st October 2020 to 30the June 2021.

Methodology: One hundred patients from both genders and between age 18-55 years were enrolled. Clinical examination and radiological complete examination was done in each patient. Zumkeller Index (ZI) was calculated and Glasgow scoring was performed.

Results: The mean age were 44.1±15.8 years with 87% males having major reasoning of head injury as a motor cycle accident. Traumatic brain injury was recorded as >3mm ZI in 10 cases. The mean midline shift was 12.4±6.06 mm with a significant difference between three categories.

Conclusion: Midline shift and hematoma thickness are useful predictors of prognosis related to acute subdural hematoma.

Keywords: Prognostic factor, Acute subdural hematoma, Computed tomography (CT)

Copyright © Pakistan Journal of Medical & Health Sciences 2022. All rights reserved!