For geographic reasons, many patients with severe craniocerebral injuries are treated by general surgeons. The authors report a series of head injuries from a general surgical department in Norway. Of 754 patients with head injuries 122 had severe injuries, including 26 children below 10 yr of age. 9 patients were dead on admission to the hospital. 56 patients were not operated upon. Of these, 16 died, 6 within 10 hr of admission. Local intracranial expansion was excluded by cerebral angiography in 31 cases. 45 patients were operated for local expansion which in 40 cases was diagnosed by angiography. In one case, the angiographically demonstrated expansion was shown to represent brain contusion with localized edema without hematoma. Of the 45 patients, 14 had epidural hematoma, 14 acute subdural hematoma, 7 chronic subdural hematoma, 7 epi- and subdural hematoma and 3 brain contusion with localized edema without hematoma. The mortality rate was 46.7% (21 patients). Operative treatment was also carried out in 6 patients with open depressed fracture of the skull and rupture of the dura, without mortality; and in 6 patients with comminuted fracture of the skull and dilaceration of the brain which proved fatal in 2 cases.
|Original language||English (US)|
|Number of pages||4|
|Journal||Tidsskrift for den Norske laegeforening|
|State||Published - Jan 1 1974|
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