Mohamed, A., El Hendawy, M., Ismail, S. (2020). Surgical Management of Closed Head Injury. The Egyptian Journal of Hospital Medicine, 78(1), 48-55. doi: 10.21608/ejhm.2020.67676
Ahmed Swailam Mohamed; Mahmoud Mahmoud El Hendawy; Shymaa Adel Ismail. "Surgical Management of Closed Head Injury". The Egyptian Journal of Hospital Medicine, 78, 1, 2020, 48-55. doi: 10.21608/ejhm.2020.67676
Mohamed, A., El Hendawy, M., Ismail, S. (2020). 'Surgical Management of Closed Head Injury', The Egyptian Journal of Hospital Medicine, 78(1), pp. 48-55. doi: 10.21608/ejhm.2020.67676
Mohamed, A., El Hendawy, M., Ismail, S. Surgical Management of Closed Head Injury. The Egyptian Journal of Hospital Medicine, 2020; 78(1): 48-55. doi: 10.21608/ejhm.2020.67676
Department of Neurosurgery, Faculty of Medicine for girls Al-Azhar University
Abstract
Background: Closed-head injury is a type of traumatic brain injury in which the skull and dura mater remain intact. Closed-head injuries are the leading cause of death in children under 4 years old and the most common cause of physical disability and cognitive impairment in young people. Objective: The study aimed to evaluate cases of closed head injury as regard clinical picture, investigations, surgical management, outcome, and prognosis. Patient and methods: A prospective study was conducted on Sixty Two patients, twenty two of them were subjected to surgery. Many preoperative factors were studied to evaluate the prognosis of such cases. Results: Among 62 cases, 22 cases were submitted to surgery 17 extradural hematomas (EDH) were submitted to surgery, some associated with sub arachnoid hemorrhage (SAH) and acute subdural hematomas (SDH). Conclusion: Early diagnosis and management of primary lesion of closed head injury is very important to prevent secondary brain injury.
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