الفهرس 
PathogenesisOnly 14 pages are availabe for public view
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Abstract
The study included 50 patients with severe head injury. They were admitted to the Neurosurgical center of Military hospitals and Ain Shams University hospital. All these patients were unconscious for longer than 6 hours, unable to obey commands, to recognize words and to open their eyes.
All patients in this study had a Glasgow Coma Scale (GCS) score of 7 or less for at least 6 hours after onset of coma. The aim of the study is to outline and define different factors affecting the prognosis in the patient population included in our study.
In our series, we studied many factors that affect survival in comatosed patients after severe head injury: age, gender, mode of trauma, skull fracture, CSF leakage, meningites, presence of intracranial hematoma, accident-admission time, initial GCS, motor pattern, best motor response, occulocephalic reflex, pupilary reaction and mannitol administration.
Our study showed only three factors with significant P values (the initial GCS, the motor pattern and the occulocephalic reflex), that affect survival in comatosed patients after severe head injury.