Relationship between brain’s CT scan findings and consciousness level, surgical findings and outcome of the patients with traumatic intracranial hemorrhage

Background: Traumatic brain injury is one of the most common causes of death among 1-45 year-old people. The aim of this study was to determine the relationship between CT scan findings of brain and consciousness level, surgical findings and outcome of the patients with traumatic intracranial hemorrhage.

Method: This study was a descriptive-analytical study which was conducted on 41 patients with visible and measurable traumatic intracranial hematoma detected by CT scan who referred to Taleghani hospital in Kermanshah. The patients’ consciousness level was measured and recorded by GCS (Glasco Coma Score) on admission and in intervals of 6 and 24 hours after operation. Data were analyzed by statistical tests run bySPSS software (version 20).

Results: Based on the CT scan findings, the hematoma location  in 18 patients (43.9%) was epidural, in 11 (26.8%) patients was subdural and in 12 (29.3 %) patients was intraparenchymal. Loss of consciousness on admission in 48.4% of patients was mild in degree, in 29% of patients was moderate and in 22.6% of patients was severe. In the operated patients, there was a significant correlation between the patients’ outcome and consciousness level on admission, before surgery, 24 hours after surgery and on discharge time. Also, there was a significant correlation between the outcome of non-operated patients and consciousness level on discharge.

Conclusion: The results of this study indicate that the outcome of the patients with brain injury was dependent on the consciousness level and there was a reverse correlation between hematoma volume and amount of midline shift in CT scan.