[Elderly patients with traumatic intracerebral hematoma who talk and deteriorate]

Two closed head injury patients who talked before their conditions deteriorated to a Glasgow coma scale score of 8 or less were identified. A 68-year-old man died with delayed traumatic intracerebral hematoma and a 63-year-old man was left vegetative with intracerebral hematoma after surgical decompression. Intracerebral hematomas in the elderly are significantly more common in the "talk and deteriorate" group, and rapid diagnosis by repeated CT scan and decompression are the most important factor in salvaging these patients.