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.
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.
shift and hematoma thickness are useful predictors of prognosis related to
acute subdural hematoma.
Keywords: Prognostic factor, Acute subdural hematoma, Computed