ÖZETAmaç: Bitlis Devlet Hastanesinde son yıl bir yıl içinde acil şartlar altında ameliyat edilen kraniyalolguların retrospektif irdelenmesiGereç ve Yöntemler: Bu çalışmada Mayıs 2011 - Mayıs 2012 tarihinde sadece acil şartlar altında kraniyal nedenlerle ameliyat edilen olgular retrospektif olarak değerlendirildi. Kafa travmalarına ek olarak spontan intraserebral hematom, subdural hematom, intraserebellar hematom gibi acil nedenlerle ameliyat edilen olgular çalışmaya dahil edildi. Elektif kraniyal girişimler çalışma dışında tutuldu. Hasta yaşı, cinsiyeti, başvuru Glasgow koma skalası (GKS), ameliyat öncesi tanılar ve son durum not edildi.Bulgular: Çalışmaya 78 erkek 30 kadın hasta dahil oldu. 17 hasta travma dışı nedenle ameliyat edil- di. Erkeklerde en sık neden trafik kazası iken kadınlarda en sık neden düşme olarak tespit edildi. En sık acil ameliyat nedeni travmatik epidural hematom idi. Hastaların başvuru esnasındaki GKS de- ğerlerine bakıldığında hastaların %47,2’sinde GKS değeri 8 veya altındaydı. Mortalite oranı %21,3 olarak tespit edildi. Mortalite ile başvuru esnasındaki GKS arasında anlamlı ilişki varlığı saptandı. Sonuç: Nöroşirurji kliniklerinde travma dışı nedenlerle yapılan acil operasyonlar azımsanamayacak bir oranı oluşturmakta ve çalışmamızda olduğu gibi yüksek mortaliteye katkıda bulunmaktadır.Anahtar kelimeler: Bilgisayarlı tomografi; Epidural hematom; Subdural hematom, Ateşli silah ya-ralanmasıABSTRACTObjective: To evaluate patients who was been operated under emergent conditions for cranialcauses in Bitlis state hospital during last year.Methods: In this study, patients who was been operated only under emergent conditions for cranial causes between May 2011 and May 2012 were evaluated retrospectively. In addition to head trauma, patients with emergent cranial causes like spontaneous intracerebral hematoma, subdural hematoma, intracerebellar hematoma were also included in this study.  Elective cranial operations were excluded. Age of the patients, gender, initial Glasgow coma scale, preoperative diagnoses, and last status of the patients were noted.Results: 78 male and 30 women were included in the study. 17 patients were operated for non traumatic causes. It was found that the most common reason for head trauma was traffic accident in men and fallls in women. The most common cause of operation was traumatic epidural hematoma. Initial Glasgow coma scale was equal and lesser than 8 in 47,2 % of patients. Total mortality rate was 21,3%. There was a significant relationship between initial Glasgow coma scale and mortality.Conclusion: The rate of emergent operations for non traumatic causes in neurosurgery should not be underestimated because it may contribute to high mortality rates as in our study.Key words: Computed tomography; Epidural hematoma; Subdural hematoma; Gunshot wounds

Objective: To evaluate patients who was been operated under emergent conditions for cranial causes in Bitlis state hospital during last year. Methods: In this study, patients who was been operated only under emergent conditions for cranial causes between May 2011 and May 2012 were evaluated retrospectively. In addition to head trauma, patients with emergent cranial causes like spontaneous intracerebral hematoma, subdural hematoma, intracerebellar hematoma were also included in this study. Elective cranial operations were excluded. Age of the patients, gender, initial Glasgow coma scale, preoperative diagnoses, and last status of the patients were noted. Results: 78 male and 30 women were included in the study. 17 patients were operated for non traumatic causes. It was found that the most common reason for head trauma was traffic accident in men and fallls in women. The most common cause of operation was traumatic epidural hematoma. Initial Glasgow coma scale was equal and lesser than 8 in 47,2 % of patients. Total mortality rate was 21,3%. There was a significant relationship between initial Glasgow coma scale and mortality. Conclusion: The rate of emergent operations for non traumatic causes in neurosurgery should not be underestimated because it may contribute to high mortality rates as in our study