Predictors of Surgical Outcome Following Cerebral Contusion in Severe Head Injuries

Objective: There are controversies regarding the management of Cerebral Contusion. The study sought to identify parameters influencing surgical outcome individuals suffering from a brain contusion.
 Methods: A quasi-experimental was conducted at Department Neurosurgery, Mayo Hospital Lahore, and 37 patients were included. information on mode/mechanism injury, time presentation, clinical contusion type/location collected. GCS (at 1st, 2nd 6th weeks) GOS used for neurological assessment pre-operative post-operative status.
 Results: average age presentation 42.57 years. 21.6% female 78.4% male patients. 64.9% presented with road traffic accidents. 4% hospital within 12 hours 16.2% between 24 hours, 5.4% 48 hours. 29% had seizures upgoing plantar. 18% hemiparesis or hemiplegia. Light reflex absent in 40.5% kept improving postoperatively. admission averaging 8 which improved 10, 12, 13 after surgery. presenting mean 1st-week, 2nd-week, 6th-week, 30th PAD. Counter coup injury 15/15 right 1st week. Mean 5 most improvement seen frontoparietal, temporoparietal, fronto-temporo-parietal locations. PAD 4.
 Conclusion: following cerebral depends upon initial GOS. Therefore, better is prognosis patient.