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Date Published: 07/03/2023
Abstract Views: 208
Views PDF: 106
DOI: https://doi.org/10.51298/vmj.v523i2.4585
Issue
Vol. 523 No. 2 (2023)
Section
Các bài báo
How to Cite
Vũ , M. H. . (2023). THE RESULTS OF TREATMENT FOR ISOLATED SUBARACHNOID HAEMORRHAGE CAUSED BY MILD CRANIOCEREBRAL TRAUMA AT THAI BINH GENERAL HOSPITAL. Vietnam Medical Journal, 523(2). https://doi.org/10.51298/vmj.v523i2.4585

THE RESULTS OF TREATMENT FOR ISOLATED SUBARACHNOID HAEMORRHAGE CAUSED BY MILD CRANIOCEREBRAL TRAUMA AT THAI BINH GENERAL HOSPITAL

Minh Hải Vũ 1,
1 ThaiBinh University of Medicine and Pharmacy

Main Article Content

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.

Article Details

Keywords

isolated traumatic subarachnoid haemorrhage, mild craniocerebral trauma, TBI

References

1. Ramona Guatta, Alberto Delaidelli (2021), Isolated subarachnoid hemorrhage in mild traumatic brain injury: is a repeat CT scan necessary? A single-institution retrospective study. Acta Neurochirurgica.
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.