الفهرس 
The value of adding cisternostomy to decompressive hemicraniotomy in management of traumatic acute subdural hematoma
AbstractOnly 14 pages are availabe for public view
 |  | from | 133 |  |  |
| | | from | 133 | | |
Abstract
Background: Surgical evacuation of acute subdural hematoma has remained the mainstay of treatment for acute subdural hematoma (ASDH) in patients with progressive neurological deficits, increasing intracranial pressure (ICP), or significant mass effect. Cisternostomy was described by Cherian et al and entails opening the basal cisterns aiming to their opening to atmospheric pressure and therefore reducing the intraparenchymal pressure. Objective: This thesis aims to evaluate value of adding cisternostomy to decompressive craniotomy on outcome of traumatic ASDH patients. Methods: Prospective study that included 40 patients who presented to Cairo University hospital emergency department with traumatic acute subdural hematoma in the period between January 2018 and June 2019 and matching our inclusion criteria: age from 12 to 65 years, Traumatic acute subdural hematoma with thickness {u2265}10 mm or Midline shift {u2265} 5 mm, Glasgow coma scale (GCS) on admission< 10, with no associated intra-parenchymal hematoma{u2265}1cm or severe comorbidities. Patients were allocated into one of two groups according to their order of coming. First group patients were operated upon by decompressive craniotomy plus cisternostomy and second group were operated upon by decompressive craniotomy only. Glasgow outcome score (GOS) was used for outcome assessment