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The Ewha Medical Journal
Ewha Womans University School of Medicine

Ewha Med J 1978; 1(4):269-275

pISSN: 1598-7450

DOI: https://doi.org/10.12771/emj.1978.1.4.269

Original Article

A Study of Outcome fron Severe Head Injuries

Sun Ho Chee
Corresponding author: Sun Ho Chee. Department of Neurological Surgery, College of Medicine, Ewha Womans University, Korea.

Copyright ⓒ 1978. Ewha Womans University School of Medicine. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: Jul 24, 2015

Abstract

The purpose of this paper is to report the outcome in 100 patients operated on at the Ewha Womans University Hospital for severe head injuries as defined by the Glasgow Coma Scale. The diagnostic categories of all patients were epidural hematoma(30%), subdural hematoma(19%), intracerebral hematoma(4%), cerebral contusion(18%), subdural hygroma(7%), and epidural and subdural hematoma(22%). The overall outcome following severe head injuries was as follows: 68% made a good recovery or were moderately disabled, 10% were severely disabled or left vegetative, and 22% died. The outcome from severe head injuries seemed to become worse with advancing age or pupillary change. The value of the Coma Scale is evidenced from the fact that all of the patients who did poorly or died had 4 or less points and all of the patients who scored 5 points or better did well.