Misdiagnoses of the traumatic intracranial haematomas. Part 2
The article reviews a misdiagnosis of the traumatic intracranial haematoma (TIH) in 366 patients of the neurosurgical departments of Moscow municipal hospitals. Four groups were singled out taking into account a hospital ms equipment by the modern neuroimaging Ms methods. A diagnostic sensibility of echoencephaloscopy in tempore-parietal TIH does not exceed 65%; in frontal, occipital and bilateral haemorrhages - 38%. A frequency and period of carring out CT/MRT depend on the hospital ms equipment by them. The TIH are detected in 65% patients in hospitals with a lack of the neuroimaging Ms methods. The misdiagnosis of the TIH Ms volume and location in CT/MRT is observed in the hospitals with a lack of the neuroimaging Ms methods (22%) or with MRT (50%). A deterioration of the patient Ms state after lumbar punction is observed in a half of the injured.