THE RESULTS OF TREATMENT FOR ISOLATED SUBARACHNOID HAEMORRHAGE CAUSED BY MILD CRANIOCEREBRAL TRAUMA AT THAI BINH GENERAL HOSPITAL
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Abstract
Objective: To assess the results of treatment for isolated subarachnoid haemorrhage caused by mild craniocerebral trauma. Method: Cross-sectional research was conducted among 75 patients with mild TBI subarachnoid hemorrhage treated at the Department of Neurosurgery-Spine of Thai Binh General Hospital. Results: 75 patients including 53 men, 22 women, male/female ratio was 2.4. The most common cause was traffic accident which accounted for 72%. The time from incident to admission under 6 hours was 90.7%. Glasgow Coma Scale (GCS) at the time of admission was 15 points accounted for 90.7%, GCS of 14 points figured at 5.3%. GCS of 13 points figured at 4.0%. Grade II and III based on Fisher grading scale accounted for 94.7% and 5.3% respectively. The duration of treatment between 7 and 14 days was at the highest rate, 66.7%, followed by under 7 days, 20%. 75 patients were stable without complications when discharged. Conclusion: Isolated subarachnoid hemorrhage due to mild craniocerebral trauma and Fisher grade II treated by internal medicine achieved stable outcome with no further surgical complications.
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Keywords
isolated traumatic subarachnoid haemorrhage, mild craniocerebral trauma, TBI
References
2. Farshad Nassiri , Jetan H Badhiwala (2017), The clinical significance of isolated traumatic subarachnoid hemorrhage in mild traumatic brain injury: A meta-analysis. J Trauma Acute Care Surg. 2017 Oct;83(4):725-731.
3. Wellingson S Paiva, Almir Ferreira de Andrade (2010), The prognosis of the traumatic subarachnoid hemorrhage: a prospective report of 121 patients. Int Surg. 2010 Apr-Jun;95(2):172-6.
4. A Stewart Levy , Alessandro Orlando (2011), Should the management of isolated traumatic subarachnoid hemorrhage differ from concussion in the setting of mild traumatic brain injury?. J Trauma. 2011 Nov;71(5):1199-204.
5. Eric D Forney, Anne Montgomery (2022), Do All Isolated Traumatic Subarachnoid Hemorrhages Need to Be Transferred to a Level 1 Trauma Center?.AmSurg.2022Aug;88(8):1827-1831.