Resumen

GARCIA MOREIRA, Tanía et al. Comando volumen de la tomografía axial computadorizada para el pronóstico y tratamiento del hematoma intracraneal postraumático. Rev Cub Med Mil [online]. 2001, vol.30, n.1, pp.15-20. ISSN 0138-6557.

35 patients with posttraumatic intracranial hematomas were studied from April, 1995, to February, 1997. These patients were diagnosed by computed axial tomography (CAT) and the volumen of the hematomas was calculated by software with the volume command. The result was compared with the average volume during surgery and no statistical difference was observed. Some other variables as the topographic situation, localization, displacement of the structures of the mean line, the neurological status of the patient and the surgical technique used, were analyzed. It was proved that the larger the hematoma volume was the higher the neurological deterioration and mortality were. This relationship was more significant in the acute processes (48.6 %). Craniotomy proved to have more value than simple trepanation. It was concluded that the volume command of the computed axial tomography is a very reliable procedure in the neuroradiological, therapeutic and prognostic assessment of posttraumatic intracranial hematomas.

Palabras clave : TOMOGRAPHY, X-RAY COMPUTED [methods]; HEMATOMA; BRAIN INJURIES [surgery]; HEAD INJURIES [surgery]; CRANIOTOMY [methods].