Long term outcome in patients with severe head injury and bilateral fixed dilated pupils.

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dc.contributor.authorSousa, Jen_US
dc.contributor.authorSharma, R Ren_US
dc.contributor.authorPawar, S Jen_US
dc.contributor.authorMahapatra, Aen_US
dc.contributor.authorLad, S Den_US
dc.date.accessioned2002-12-11en_US
dc.date.accessioned2009-06-03T12:43:55Z
dc.date.available2002-12-11en_US
dc.date.available2009-06-03T12:43:55Z
dc.date.issued2002-12-11en_US
dc.description.abstractPatients with severe head injury with bilateral dilated unreactive pupils are considered to have a grave prognosis. Hence proper planning and aggressive management becomes mandatory for achieving good results. We present the outcome of consecutive 166 patients with severe head injury, admitted between January 1996 and December 2000 and analysed retrospectively. All the patients had an initial GCS of 8 or less and post resuscitation bilateral dilated unreactive pupils. Our aim was to analyze the long term outcome in these patients and identify the other significant prognostic factors. Of the 166 patients, 42 (25.30%) had a functional outcome (good recovery in 10.24%, moderate disability in 15.06%), and 124 (74.69%) had a poor outcome (death in 58.43% and severe disability in 16.26% of cases). There were 45 patients with polytrauma and 24 of these patients (53.33%) succumbed to the injuries. Obliteration of the basal cisterns and contusion were the common CT scan findings. Factors adversely affecting the survival included age of the patient, polytrauma with shock, initial GCS of 3 or 4, and compression of the basal cisterns on the initial CT scans. At follow up, most of the patients with a functional outcome showed a significant improvement in their motor function but continued to have neuro-behavioral and cognitive deficits.en_US
dc.description.affiliationDepartment of Neurosurgery, Khoula Hospital, Muscat 116, Sultanate of Oman.en_US
dc.identifier.citationSousa J, Sharma RR, Pawar SJ, Mahapatra A, Lad SD. Long term outcome in patients with severe head injury and bilateral fixed dilated pupils. Neurology India. 2002 Dec; 50(4): 430-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/121747
dc.language.isoengen_US
dc.source.urihttps://neurologyindia.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCraniocerebral Trauma --complicationsen_US
dc.subject.meshDisability Evaluationen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshLongitudinal Studiesen_US
dc.subject.meshMaleen_US
dc.subject.meshPupil Disorders --etiologyen_US
dc.subject.meshTrauma Severity Indicesen_US
dc.titleLong term outcome in patients with severe head injury and bilateral fixed dilated pupils.en_US
dc.typeJournal Articleen_US
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