Based on the findings of the initial brain CT scan, the decision for further interventions was made. Patients were admitted to the ICU when they had significant intracranial hemorrhage (ICH), severe injury to other organs, and on admission GCS of lower than 10.
In cases with suspicion of vascular injury, a brain CT angiography was also obtained.
Cranioplasty and dural repair were performed when indicated, and the removal of the foreign bodies was also conducted when objects were not located in deep-seated or eloquent areas.
In cases with findings in favor of a midline shift of more than 5 mm or raised intracranial pressure, decompressive craniectomy was performed. Following the surgical intervention, patients were transferred to the ICU and then, once they were stable, to the ward.
In cases with suspicion of vascular injury, a brain CT angiography was also obtained.
Cranioplasty and dural repair were performed when indicated, and the removal of the foreign bodies was also conducted when objects were not located in deep-seated or eloquent areas.
In cases with findings in favor of a midline shift of more than 5 mm or raised intracranial pressure, decompressive craniectomy was performed. Following the surgical intervention, patients were transferred to the ICU and then, once they were stable, to the ward.
