Clinical indicators of survival in patients with bilateral traumatic intracranial hematomas

Aim: To assess the impact of clinical features like pre-operative GCS and status of pupils on the survival of patients presenting with combination of EDH+EDH, EDH+SDH and SDH+SDH on the opposite sides. Materials and Methods: 79 patients admitted in the Institute of Neurology, Rajiv Gandhi Government General Hospital & Madras Medical College, Chennai, with bilateral traumatic intracranial extra parenchymal haematomas were included in this study. Acute, bilateral, traumatic, intracranial-extraparenchymal haematomas that is composed of EDH+EDH, EDH+SDH and SDH+SDH patterns were included in the study group. CT-Brain was done in all patients. In patients having bilateral intracranial haematomas, the GCS and the condition of pupils on admission were ascertained and documented. The impact of these factors on the survival of the patients was analysed. The data was subjected to statistical analysis and a “p” value of less than 0.05 was supposed to indicate a positive association of the results and survival. Results: The patients who had a low GCS score had higher mortality rate when compared to patients with GCS score of more than 9 and the patients with a normalpupils had better survival rate than patients with pupillary asymmetry in the pre-operative phase Conclusion: The statistically significant positive correlation of the included clinical factors makes the early clinical assessmenta useful tool in the assessment of the survival in patients with combination of intracranial haematomas on the opposite sides.