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Journal of Korean Neurosurgical Society 1993;22(2): 205-212. |
Severe Head Injury:Clinical Prognostic Factors. |
Joon Seok Song, Eun Joo Ha, Jong Soo Lee, Seung Jae Lee, Hyo Il Park |
Department of Neurosurgery, Seoul Paik Hospital College of Medicine, Inje University, Seoul, Korea. |
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ABSTRACT |
A clinical analysis was carried out retrospectively with 54 cases of severe head injured patients(Glasgow Coma Scale score 3 to 8) to identify prognostic factors. Unawareness for over 1 month, abnormal papillary reaction, abnormal motor response pattern, and diffuse head injury with basal cisternal compression prove to be the most reliable predictors. Individual predictions of outcome provide a powerful too for assessing the relative efficacy of alternative treatments. |
Key Words:
Severe head injury; Unawareness; Pupil; Motor response; Basal cisternal compression |
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