Surgical management of closed head injury

Abstract

Background: Closed-head injury is a type of traumatic brain injury in which the skull and dura mater remain intact. Closed-head injuries are the leading cause of death in children under 4 years old and the most common cause of physical disability and cognitive impairment in young people. Objective: The study aimed to evaluate cases of closed head injury as regard clinical picture, investigations, surgical management, outcome, and prognosis. Patient and methods: A prospective study was conducted on Sixty Two patients, twenty two of them were subjected to surgery. Many preoperative factors were studied to evaluate the prognosis of such cases. Results: Among 62 cases, 22 cases were submitted to surgery 17 extradural hematomas (EDH) were submitted to surgery, some associated with sub arachnoid hemorrhage (SAH) and acute subdural hematomas (SDH). Conclusion: Early diagnosis and management of primary lesion of closed head injury is very important to prevent secondary brain injury.