Analysis of clinicoradiological prognostic factors in traumatic acute subdural hematomas

Subdural hematoma is formed when bleeding occurs in subdural space. Subdural hematoma may be acute, sub-acute or chronic. Post traumatic acute subdural hematoma is one of the most lethal of all head injuries. It is one of the most difficult tasks faced by neurosurgeons because of high mortality and morbidity of this disease. Many factors affect the outcome of post traumatic acute subdural hematoma (1).Factors found to provide most of the prognostic information include patient’s age (2) Glasgow coma score(3),abnormality in pupillary reaction, direct admission of patient to trauma centre and computed tomography scanning. Outcome of patients is noted by Glasgow outcome score (4). The present study assesses the burden of post traumatic acute subdural hematoma and identifies factors influencing its outcome at tertiary care teaching hospital in Rajasthan. It is a clinical, radiological and management based study of patients of post traumatic acute subdural hematoma who presented to PBM and associated group of Hospitals, Bikaner from Dec 2014 to Dec 2015.