Clinical analysis of delayed traumatic intracranial hematoma:Report of 23 cases

Objective: To investigate the clinical features and treatment of delayed traumatic intracranial hematoma (DTICH). Methods: Twenty-three cases of DTICH were included in the study. The hemotoma in 12 cases were removed and decompressed by crinial bone resection and 5 cases were removed by means of craniotomy with small bone window resection under microscope. 6 cases received expectant treatment. Results: Of the 23 patients with DTICH, 7 were cured, 9 could take care of themselves, 1 was in vegetative state and 6 died. Conclusions: Position of the trauma, skull fracture, cerebral contusion and laceration are the factors related to delayed traumatic intracranial hematoma. Early diagnosis and treatment is key to successful treatment of patients with DTICH.