TITLE:
Management and Outcome of Acute Subdural Hematoma in Gabriel Touré Hospital
AUTHORS:
Youssouf Sogoba, Drissa Kanikomo, Quenum Kouassi Jean Marie Kisito, Moussa Diallo, Bakary Dembélé, Boubacar Sogoba, Djènè Kourouma, Izoudine Blaise Koumaré, Seybou Hassane Diallo, Hamidou Almeimoune, Moustapha Mangané, Thierno Madane Diop, Oumar Coulibaly, Mamadou Salia Diarra, Mahamadou Dama, Oumar Diallo, Youssoufa Maiga, Djibo Mahamane Diango
KEYWORDS:
Acute Subdural Hematoma, Traumatic Brain Injury, Outcome
JOURNAL NAME:
Open Journal of Emergency Medicine,
Vol.10 No.1,
March
18,
2022
ABSTRACT: Background: Traumatic Brain Injury (TBI)
is a major health problem worldwide. It is the main cause of trauma mortality. Acute subdural hematoma (ASDH)
has a reputation for being the most serious of all posttraumatic head injuries.
Its frequency is estimated to be 1% to 5% of all head injuries and 22% of
severe head injuries. The aim of this study was to assess the epidemiological,
clinical and prognosis aspects of ASDH in our department. Material and Methods: This prospective study, from January to December
2019, included 57 patients admitted to the Gabriel Touré Teaching Hospital for
ASDH. Patients underwent detailed clinical and radiological evaluation and ASDH
was diagnosed by non-contrast computed tomography (CT) scan. Functional outcome
was evaluated 6 months after injury by Glasgow Outcome Scale. Results: During the study period, 662 patients were admitted
for TBI including 57 (8.61%) cases of ASDH. The mean age was 34 years with
extremes of 2 and 77 years. There was a male predominance with 52 (91.2%). The
main cause of trauma was motor vehicle accidents in 38 (66.6%) patients.
According to the Glasgow coma scale (GCS), 33 (57.9%) patients were classified
mild (Table 2). The thickness of the hematoma was more than 1 cm in 13 (22.8%)
patients and less than 1 cm in 44 (77%) patients. Surgical treatment was
performed in 13 (22.8%) patients. The outcome was favorable in 30 (52.6%)
patients and the mortality rate was 33.3%. Conclusion: ASDH remains a difficult challenge because of the
high mortality. The mortality rate remains high particularly in patient with
poor GCS score at admission.