INTRODUCTION: acute subdural hematoma is a clinical entity with increased morbidity and mortality. For optimum outcome, urgent surgical intervention is needed. It is a common pathology following traumatic brain injury with associated brain contusions and edema. The aim of the study was to review the presentation and surgical outcomes of traumatic acute subdural hematoma in our facility.
MATERIALS AND METHOD: This retrospective study was conducted on 51 patients who had surgical operation for traumatic cute subdural hematoma in our hospital from October 2018 to October 2022. All patients with surgical lesion of traumatic ASDH were reviewed. Age, sex, mechanism of trauma, associated intracranial pathology and Glasgow Coma Scale (GCS) score at the time of admission and Glasgow Coma Outcome Score (extended) on discharge were all studied.
RESULTS: Young adults of our population in their 2nd an 3rd decades of life were the majority of the subjects in our study. 70% of the patients had favorable outcomes with a mortality rate of 12%. Age and GCS score were seen to be an independent prognostic factors among our study subjects (p =0.000 and 0.001respectively).
CONCLUSION: Traumatic ASDH is still a major neurosurgical emergency with significant unfavorable outcome despite surgical intervention. Age and GCS score were shown to be predictive factors for outcomes, since these two variables are unmodifiable, prevention of the occurrence of traumatic ASDH should be vigorously pursued by advocacies and enforcement of road traffic laws.
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