TRAVMATÝK EPÝDURAL HEMATOMLAR: MORTALÝTEYÝ ETKÝLEYEN FAKTÖRLERÝN ANALÝZÝ

6 yýllýk period boyunca cerrahi olarak tedavi edilen 104 epidural hematom olgusu analiz edildi. Bilgisayarlý beyin tomografisinin (BBT) yaygýn olarak kullanýldýðý dönemi ve öncesi dönemi kapsayan bu serideki 88 olguya BBT ile taný konulurken, kalan 16 olgu anjiografi ve eksploratif burr hole tekniði ile taný aldý. Mortalite oranýmýz %14.4'dür. BBT çekilen grup kendi içinde deðerlendirildiðinde bu oran %10.2 iken, anjiografi-eksplorasyon grubu için %37.5'dur. Bu seride mortalitenin tamamý Glasgow koma skoru (GKS) 8 puanýn altýnda olan olgularda görüldü. Hematom kalýnlýðý, orta hat yapýlarýnýn þifti ve travma ile taný arasýndaki sürenin giriþ GKS'yi etkilediðini gördük. Ve bu çalýþmada giriþ GKS, intradural lezyon varlýðý ve mortalite arasýndaki iliþkiyi analiz ettik.

TRAUMATIC EPIDURAL HEMATOMAS: ANALYSIS OF FACTORS AFFECTING MORTALITY

One hundred and four consecutive cases operated for epidural hematoma over 6 years period were analyzed. This series included patients from both before and after the advent of cumputed tomography (CT). CT scans were obtained in 88 cases. Angiography and exploratory burr holes were performed in 16 cases. The overall mortality was 14.4 %. The mortality rates were 10.2% in CT group and 37.5% in the angiography and exploration group. The glasgow coma scores (GCS) of all patients who died in this series less than 8. We concluded that the thickness of hematoma, the degree of shift of midline structures and the time interval between the trauma and diagnosis affected the GCS of the patients. And there were correlations between GCS and presence of associated intradural lesions with mortality.