Ali Akbar.
Acute Head Injury: Surgical Management and Outcome Analysis of 185 Cases.
J Surg Pak Jan ;6(2):18-20.

To present experience of surgically managed acute head injury of patients without facilities of CT scan, a prospective study was carried out from July 1998 to June 2001 at the Department of Neurosurgery, Chandka Medical College Hospital, Larkana. Patients admitted with closed head injury with deterioration of conscious level, coma, with or without linear fracture, pupillary dilation and neurological deficit were operated by exploratory burr holes. Postoperatively intracranial pressure was reduced by intravenous infusion of mannitol 2096 and frusemide. There were 185 patients (116 males, 69 females) upto 40 years of age. Common mode of injury was road traffic accidents (429b) and assaults (34%). Haematomas were extradural in 83, acute subdural in 16, brain contusions in 22 and combined extradural and subdural haematomas in 18 cases. Overall survival rate was 69.7296 with satisfactory recovery in 57.2996 cases on Glasgow Coma scale.

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