The aim of the work is to study the peculiarities of the clinical course and to identify factors influencing the outcomes of surgery isolated traumatic intracerebral hematoma. The retrospective analysis was performed. There were studied 188 medical records of patients with isolated traumatic brain injury (ITBI), who operated in various hospitals of Republic of Armenia. Intracerebral hematoma (IH) was detected in 14 patients.
Conclusions: Intracerebral hematoma is rare in patients who suffered from ITBI. IH has severe clinical course: disability and mortality occur in a great number of cases. The contusion focus of brain injury found by CT scan in the first hours after the injury can be formed to IH with spread zones of brain edema for 10–12 hrs, that is a poor predictor of radiological symptom. There are many factors negatively affecting IH outcomes, they are severe condition of patients admitted in different stages of clinical decompensation, elderly age, lack of treatment in the pre-hospital period, delayed operation for more that 2 hrs after admission, cerebral and extracerebral complications, in particular, focus of encephalomalacia, meningoencephalitis and pulmonary complications.