Burr Hole Craniotomy For Traumatic Intracerebral Hemorrhage: A Case Report

*Riski Novita Sari1, Muhammad Ardi Munir2, Franklin Sinanu3

1
Medical Profession Program, Faculty of Medicine, Universitas Tadulako – Palu,
INDONESIA – 94118
2
Department of Social Health Science, Medical Law and Bioethics, Universitas Tadulako –
Palu, INDONESIA – 94118
3
Department of Neurosurgery, Faculty of Medicine, Universitas Tadulako, Undata General
Hospital – Palu, INDONESIA – 94118
*Corespondent Author : kiki.djamal@yahoo.com

ABSTRACT
Introduction : Traumatic brain injury (TBI) vary widely in their etiology, pathophysiology,
clinical presentation, and optimal treatment strategies. Trauma Intracerebral Hemorrhage is
the main head injury pattern, including cerebral contusion, subdural hematoma (SDH),
subarachnoid hemorrhage (SAH) and diffuse axonal injury (DAI). Head CT-scan has a good
sensitivity more than 95%. Case : A 83 years old rider was admitted to the emergency room
with a decrease of consciousness after crashed by another motorcycle, he came after 2 days of
an accident. Glasgow Coma Scale (GCS) E4M5V4, clinically, there is a sign of hemiparesis
dextra. CT-Scan imaging showed left temporal intracerebral hemorrhage volume ±14,96 ml
and no midline shift. The patient underwent left temporal craniectomy. Conclusion : Factors
affecting the condition of patients with head injuries include age, sex, mechanisme of injury,
glasgow coma scale (GCS) scores, pupil responses that are assessed the first time a patient is
admitted to the hospital and cerebral hemorrhage lesions. Open craniotomy and evacuation of
the hematoma is one of several operative technique.

Keyword : traumatic brain injury, intracerebral hemorhage, craniotomy.