Post Traumatic Epidural Hematoma: Outcome Analysis in 68 Consecutive Unselected Cases
Journal Title: Nepal Journal of Neuroscience - Year 2010, Vol 7, Issue 1
Abstract
Traumatic epidural hematoma when significant or symptomatic is a neurosurgical emergency that needs immediate surgical intervention. This is a case series study of 68 patients (59 males, 87%) with epidural hematoma treated in B. P. Koirala Institute of Health Sciences, Dharan, Nepal between December 2008 and October 2009. Variables included in the analysis were age, mode of injury, occupation, risk factors such as alcohol intake or use of helmet, associated other intracranial or extracranial injury, hematoma site and severity of head injury by using Glasgow Coma Scale (GCS). At discharge the outcome were classified based on the dichotomized Glasgow outcome score (GOS) as favorable, unfavorable and death. Age ranged from 5 to 68 years with the majority in the 10 to 30 year group (57%). The commonest mode of injury was road traffic accident in 41% followed by fall in 34%. With respect to the site, the majority of the EDH was the combined type (more than one lobar area) with 44%, followed by frontal in 28% and occipital in 15%. Surgical evacuation was done 62% which fulfilled the inclusion criteria and the rest conservatively managed. Using the dichotomized GOS the majority were in the favorable group (87%) and the rest in the unfavorable group (13%). The results of this study showed that even in developing countries the outcome is good if managed early and with strict criteria for surgery.
Authors and Affiliations
Dr Yam Bahadur Roka
Keywords
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