Peculiarities of the clinical course of intracranial hematomas with regard to age factors and the phase of the disease

Abstract

Aim: To identify the peculiarities of the clinical course of intracranial hematomas taking into account age factors.

Material and methods. One hundred twelve victims with traumatic compression of the brain were examined. The diagnosis was made based on the results obtained during a comprehensive examination, including a dynamic clinical and neurological examination, radiography, CT and MRI.

Results and discussion. More than half of the victims, 31 (56.5%), were admitted in consciousness, 65 (58.0%) in moderate stun, and 8 (7.1%) - in deep stun. Headache was detected in 86 out of 112 patients with ICH (76.8%). In some patients, it was impossible to identify headaches due to severe impairment of consciousness. They are usually considered in the circle of cerebral symptoms, and they are relatively rare - only 13.4% of patients with ICH Aphasic syndrome included a motor or sensory speech disorder and was noted in 16% of patients with intracranial hematoma. If we take only left-sided intracranial hematomas, their specific weight among focal symptoms significantly increased (up to 22%).

Conclusion. Statistical analysis of the results of this study showed that the introduction of new methods into the medical complex in recent years contributed to improving treatment results and decreasing mortality.