Severe Craniocerebral Trauma: Early Outcomes and Prognosis Calculation

Kasumov R.D., Klimenko N.B., Efremova S.E., Dzhabbarova L.B., Nikulina T.A., Alekseev V.V.

(Polenov Research Neurosurgical Institute)

Male patient S., aged 35, was delivered to Department N 1 of the Polenov Research Neurosurgical Institute on April 15, 1999. Admission diagnosis was as follows: acute craniocerebral trauma, severe brain contusion with crush foci in the left parietal and temporal lobes, hypertension-dislocation syndrome of the first degree with the stem secondary lesion at the diencephalic-mesencephalic level, a depressed comminuted fracture of the left temporal and parietal bones, the scull base fracture, subarachnoid hemorrhage. Standard examination was carried out. Its results were used as a basis for calculating prognosis of early outcomes of treatment (two linear-discriminant functions, corresponding to favorable and fatal outcomes, were calculated). Prognosis turned out to be favorable.

The patient was operated on April 16, 2001. Resection trephination of the skull in the temporal-parietal-occipital area, removal of the depressed comminuted fracture and crush foci of the left temporal and parietal lobes were performed.

There was regress of common cerebral and focal neurologic symptoms in a postoperative period. The patient was discharged on the 34 day in a satisfactory state. Prognosticated and real outcomes coincided.

The demonstration goal:

To prove possibility of prognosticating an early outcome of treatment of severe craniocerebral trauma on the basis of results of preoperative examination and discriminant analysis.