SURGICAL STRATEGIES AND TREATMENT OUTCOMES OF MULTIPLE TRAUMATIC INTRACRANIAL HEMATOMAS IN SEVERE TRAUMATIC BRAIN INJURY

Abstract

Background. Multiple traumatic intracranial hematomas represent one of the most severe complications of traumatic brain injury and are associated with extremely high mortality rates. Despite advances in neuroimaging and neurosurgical techniques, optimal surgical management remains controversial.

Objective. To evaluate surgical strategies and treatment outcomes in patients with severe traumatic brain injury complicated by multiple traumatic intracranial hematomas.

Materials and Methods. A retrospective analysis of 103 patients with multiple intracranial hematomas was performed. Clinical presentation, neuroimaging findings, surgical approaches, and postoperative outcomes were analyzed.

Results. Postoperative mortality reached 62.1%. Favorable outcomes were predominantly associated with wide craniotomy techniques. The depth of impaired consciousness was identified as the most significant prognostic factor.

Conclusion. Early, adequate, and radical surgical decompression tailored to hematoma localization and neurological status is critical for improving survival and functional outcomes in patients with multiple traumatic intracranial hematomas.