DIAGNOSIS AND SURGICAL MANAGEMENT OF BRAIN COMPRESSION SYNDROME IN TRAUMATIC BRAIN INJURY: EXPERIENCE OF A MULTIDISCIPLINARY HOSPITAL

Abstract

Background. Brain compression syndrome is one of the most life-threatening complications of traumatic brain injury (TBI) and, without urgent surgical intervention, often results in fatal outcomes.
Objective. To evaluate diagnostic features and surgical treatment outcomes of patients with brain compression syndrome in a multidisciplinary hospital.
Materials and Methods. A retrospective analysis of 371 patients with brain compression syndrome among 3,877 TBI victims treated between 2006 and 2008 was performed. Diagnostic methods included neurological examination, echoencephalography, skull radiography, and computed tomography.
Results. Intracranial hematomas were the leading cause of brain compression (89.7%), with subdural hematomas predominating. Most patients required surgical intervention. Postoperative mortality was 1.37%, mainly associated with large hematoma volume, concomitant brain contusion and edema, and delayed hospitalization.
Conclusion. Early diagnosis and timely surgical management significantly improve outcomes in patients with brain compression syndrome following TBI.