Abdallah Mahmoud Ismaiel Alserafy <br/><br/>
Surgical management of traumatic cerebral intra parenehymal hematoma /  
 العلاج الجراحى للنزيف داخل أنسجه المخ الناتج عن أصابات الرأس 
Abdallah Mahmoud Ismaiel Alserafy ; Supervised Hassan Ismaiel Lotfy Elshafiee , Mohamed Mamdouh Mohamed Salama , Mohamed Ibrahim Mohamed Refaat 
 - Cairo :   Abdallah Mahmoud Ismaiel Alserafy ,   2016 
 - 93 P. :   facsimiles ;   25cm 
<br/><br/>Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neurosurgery 
<br/><br/> Cerebral intraparenchymal hematoma (IPH) is a common sequel of head trauma representing 8.2% of all head trauma and 13-35% of severe head trauma. The role of surgery and its timing remains undefined. The aim of this work was to clarify the surgical indication in these patients. Twenty patients with cerebral traumatic (IPH) were included. The patients were surgically treated early to minimize secondary brain injuries if the volume of hematoma exceeded 20cm3 with midline shift more than 5mm, basal cistern compression, increased intra cranial pressure (ICP) that not responding to medical treatment and neurological deficits related to hematoma, or any lesion more than 50 cm3 by either open craniotomy and evacuation under direct visual guidance for focal lesions in addition to decomressive crainectomy in cases associated with diffuse cerebral swelling that usually occurs secondary to the trauma  
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<br/><br/><label>Subjects--Index Terms: </label>Head trauma Surgical evacuation Traumatic intra parenchymal hematoma