Abstract:

Purpose: reverse assessment of clinical findings of acute subdural hematoma (ASDH) and computer tomography results. Methods: Between January 2013 and March 2017, 106 cases of ASDH applied to our clinic were reviewed backward. The results of the age, gender, subdural hematomy etiology, and BT (computer tomography) of each phenomenon were evaluated. The incidents were studied by calculating the middle line healing, hematom volume and dancity in the brain's BT cuts. The results were statistically evaluated. Results: The average age of 106 cases of ASDH [80 (75,5%) men, 26 (24,5%) women, which were referred to in the brain surgical clinic was 37,93±27,16 (1-89). 65 of the cases (61.3%) were resorbed by themselves. 23 of the patients (21.7 percent) were operated. However, 12 of the incidents were missing during our follow-up, including men (11.3%) and 6 (5.6%) women. In the cranial IT checks of the ancient events, in addition to the middle line swelling, contained contusion, swelling or other systemic findings. The most frequently applied causes were traffic accidents 48(45%), fall 23(22%), blow 14(13%), firearm injuries 11(10%), spontaneous bleeding 10(10%). There were no significant differences in the statistical comparison made in terms of hematom volume, dancability and middle-line healing. In the study of brain tomography of cases, the average hematom volumes were measured at 22,54±2,45cm3 (4-120), the average subdural hematom dancity was 52,35±15,12 HU (Hounsfield Units) (18-76), the average line height was 2,34±2,99mm (0-17,25). The correlation test between age and subdural hematom volume found meaningful in a positive direction (p<0,001, r=0,425). The correlation test between age and hematomic dancity found meaningful in a negative direction (p<0,05, r=-0,21). Result: In our study, we evaluated patients with ASDH who apply to our emergency clinic ethical, clinical and radiological. The chronic BT is an important diagnostic agent for these patients. Having additional findings of ASDH in the chronic BT significantly increases mortality. In patients with ASDH, the age increased and the volume of hematom increased and the dance rate decreased. In the elderly patients, after small trauma, ASDH can also be formed and later detected.

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