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Date Published: 28/02/2026
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DOI: 10.56535/jmpm.v51i2.1726
Issue
Vol. 51 No. 2 (2026): JOURNAL OF MILITARY PHARMACO-MEDICINE No.2 - 2026
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Articles
How to Cite
Nguyen, X. P., Nguyen, M. T., & Nguyen, Q. H. (2026). FACTORS INFLUENCING OUTCOMES OF DECOMPRESSIVE CRANIECTOMY FOR EPIDURAL HEMATOMA IN PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY AT MILITARY HOSPITAL 103. Journal of Military Pharmaco-medicine, 51(2), 237-244. https://doi.org/10.56535/jmpm.v51i2.1726

FACTORS INFLUENCING OUTCOMES OF DECOMPRESSIVE CRANIECTOMY FOR EPIDURAL HEMATOMA IN PATIENTS WITH SEVERE TRAUMATIC BRAIN INJURY AT MILITARY HOSPITAL 103

Xuan Phuong Nguyen1, , Manh Truong Nguyen1, Quang Huy Nguyen2
1 Khoa Phẫu thuật thần kinh, Bệnh viện Quân y 103, Học viện Quân y
2 Khoa Hồi sức ngoại, Bệnh viện Quân y 103, Học viện Quân y

Main Article Content

Abstract

Objectives: To evaluate some clinical characteristics and cranial computed tomography (CT) findings related to the outcomes of decompressive craniectomy for  epidural  hematoma  in  patients  with  severe  traumatic  brain  injury  (TBI). Methods: A retrospective and prospective, cross-sectional descriptive study was conducted on 34 patients with severe TBI undergoing decompressive craniectomy for epidural hematoma at Military Hospital 103 from January 2023 to May 2024.Results: The mean age was 33.2 ± 16.4 years, and the male-to-female ratio was 10:1. Pupil dilation was observed in 70.6% of patients and seizures in 14.7% of cases. The mean hematoma volume was 72.65 ± 26.08mL. The mean midline shift was 10.06 ± 4.01mm. Basal cistern effacement occurred in 58.82%. Cerebral infarction was a postoperative complication accounting for 8.82%. Favorable outcomes (GOS I, II, III) were achieved in 67.64% of patients. Conclusion: Decompressive craniectomy for epidural hematoma in patients with severe TBI had favorable outcomes, with a postoperative survival rate of 97.06%. Pupil dilation, hematoma volume, and midline shift were associated with poorer surgical outcomes according to the GOS (p < 0.01). 

Keywords

Epidural hematoma, Severe traumatic brain injury, Decompressive craniectomy

Article Details

References

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