Traumatic brain injury (TBI) is a leading cause of morbidity and mortality worldwide, requiring prompt clinical assessment and effective neurosurgical management. This retrospective study analyzed 150 patients with TBI admitted to the Neurosurgery Department of [Hospital/Institute Name], Uzbekistan, between January 2022 and June 2025. Clinical evaluation, Glasgow Coma Scale (GCS) scoring, and neuroimaging (CT and MRI) were used to determine injury severity and guide surgical decision-making. Patients with epidural or subdural hematomas, intracerebral contusions, or elevated intracranial pressure underwent neurosurgical interventions, including craniotomy, decompressive craniectomy, and hematoma evacuation. Postoperative outcomes were assessed using the Glasgow Outcome Scale (GOS) at discharge and 3-month follow-up. Results demonstrated that timely surgical intervention significantly improved neurological outcomes and reduced secondary brain injury. The study highlights the importance of integrating clinical assessment, imaging, and evidence-based neurosurgical strategies to optimize patient prognosis and functional recovery.

Traumatic Brain Injury; Neurosurgery; Craniotomy; Decompressive Craniectomy; Hematoma Evacuation; Glasgow Coma Scale; Glasgow Outcome Scale; Intracranial Pressure; Neuroimaging; Clinical Management

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