Research Article
Ali Jafari Khalilabadi, Mehdi
Abstract
Traumatic brain injury(TBI) can lead to pathological damage many of the most important of which can be fractured skull, Brain contusion as well as various hemorrhage and hematoma (epidural, subdural, subarachnoid, interparenchymal and intrvantericular). This research aims to study the relationship between CT scan findings, level of consciousness and outcome score in patients with traumatic brain hemorrhage. During a 6-month period 100 patients with traumatic intra-craniumhematoma referred to emergency department were studied. They were then transferred CT. Scan department for brain CT. Scan in order to determine type of hematoma, location of hematoma, change of midline shift and volume of hematoma. Patients with clear and visible hemorrhage were excluded out of the study. The level of consciousness was measured and recorded based on Glasgow Coma Scale in time interval of entrance time and 24 hours after patients' hospitalization. Patient’s outcome was determined based on Glasgow Coma Scale. The collected finding were, data was analyzed using SPSS 20 software. Based on CT. Scan findings the most current type of hematoma is subdural. Hematoma location in 30 people was epidural, in 44 people subdural and in 26 people inter-parenchyma. Also outcome of 13 patients was death, 3 people with vegetative state, 17 people with brain sever injury, 20 people in low state and 47 people in normal state. According to obtained results there was a significant relationship between level of consciousness and voloume of hematoma. Also it was determined that there is a significant relationship between patients' outcome and level of consciousness while releasing. (P<0.05) Our study shows that outcome of patients involving intra-brain traumatic hemorrhage depends on CT. Scan findings and level of consciousness. Among CT. Scan findings there is a significant reverse relationship between hematoma volume and mildline shift with level of consciousness.