Determination of the side of traumatic intracranial hematomas

It is crucial for the neurosurgeon to recognize the side of intracranial hematoma formation in patients with craniocerebral trauma. This task is no less difficult than determining its presence. In addition to the neurological picture, the nature and localization of injuries to the scalp and skull bones should be taken into account. Meanwhile, such a traditional symptom of intracranial hematoma, as pupil dilation, occurs in 15-20% of patients on the side opposite the hematoma. Homolateral pyramidal syndrome is not uncommon (about 20% of the victims). The existing clinical dissociations are usually due to either severe concomitant contusion of the cerebral hemisphere opposite to the side with the hematoma or to the developed dislocation of the stem formations.