Identifying Criteria for Surgical Management of Traumatic Supratentorial Intraparenchymal Lesions: A Retrospective Study

Background: Traumatic supratentorial Intraparenchymal hemorrhages (IPH) may require urgent surgical intervention, but evidence-based criteria remain debated. This study analyz-es predictors of postoperative outcomes. Aim of Study: To analyze surgical outcomes and predictors of prognosis in patients with traumatic supratentorial intrapa-renchymal hemorrhages managed surgically, with emphasis on hematoma volume, admission Glasgow Coma Scale (GCS), and outcome correlations. Patients and Methods: A retrospective observational study of 40 traumatic intraparenchymal hemorrhage and Contusion patients (2022–2024) undergoing surgical intervention at Cai-ro University Hospitals. Primary outcomes: Mortality and Glasgow Outcome Scale (GOS) at 3 months. Statistical analy-sis included t-tests and Pearson’s correlation. Results: Mortality was 10% (all GCS ≤8; p<0.001). He-matoma volume >50cm3 correlated with higher mortality (p=0.13). Favorable outcomes (GOS 4–5) occurred in 60% at discharge, improving to 88% at 3 months. Conclusion: Admission GCS is the strongest predictor of survival. Surgery is justified for hematomas >20cm3 with mass effect, aligning with current guidelines.