DOI: 10.36347/sjams.2019.v07i01.045

Pages: 258-263

Aim: To study the outcome of bilateral intracranial hematomas in both surgical and conservative groups and also to study the factors influencing the morbidity and mortality in patients with bilateral intracranial hematomas. Material and methods: This is a prospective study conducted at our hospital from October 2013 to February 2016, including 34 patients who were managed either conservatively or surgically. Results: In this study, the age of the patients ranged between 9-70 years and the peak incidence was noted in the 31-50-year age group, comprising 52.94% of the cases, the mortality rate was more in this group contributing to 66.66% of the mortality. Male: female ratio in this study was 4.94:1 and the mortality was more in the males. Two-thirds of patients in this study were injured by road traffic accidents and mortality was higher (29.62%) compared to non-RTA group.50% of the patients had focal neurological deficits and there was a significant difference in the mortality rate in patients with (50%) and without deficits (13.63%). There was a statistically significant difference in the mortality between the group of patients who were operated within and after 6hrs of injury. Mortality was more in the patients operated after 6 hours. Glasgow coma outcome scale was used to assess the outcome of the patients in this study, out of the 34 patients 14 had good recovery (more in the non-operative group), 6 had a moderate disability, 4 had a severe disability, and one is in a vegetative state. There were 9 deaths in this study. (8 in operative group and 1 in the non-operative group). Conclusion: The outcome of patients with traumatic bilateral intracranial hematomas was better in the conservative group compared to operative, though not statistically significant.