Contralateral motor deficit in extradural hematoma: Analysis of 35 patients

Abstract

We work at one of the busiest trauma centers of the country and deal with more than 200 cases of extradural hematomas per year. The striking frequency of the association of motor deficits with extradural hematomas prompted us to take up this study and delineate the factors that could lessen the morbidity by decreasing the convalescence of the affected patients. We primarily found that the association between EDH and motor deficits was common, and early intervention resulted in faster recovery of motor power, (70% in patients operated within 24 hours of trauma, and 53.3% in patients operated after 24 hours of trauma. recovered complete power within 4 weeks.) We concluded a clinically significant association of extradural hematomas and concurrent motor deficits, and found that timely intervention in patients presenting with mild head injury enabled us to achieve complete recovery of motor power. Contributing factors included the concurrence of signs of herniation and associated parenchymal injuries.

Surgical Outcome of Extradural Hematoma Patients in Relation to Preoperative Neurological Status

“…In one case series in Hong Kong Cheung et al [6] observed male predominance (78.7%). Similar observations regarding the male predominant were also observed by Aurangzeb et al [5], Cheung et al [6], Emejulu et al [7], Husain et al [14], Khaled et al [13] and Soon et al [9]. Among the 98 patients it was observed that in majority cases the mode of injury was motor vehicle accident 44 (44.88%) followed by assault 29 (29.58%) and fall from height 20 (20.40%).…”

Burr hole evacuation of extradural hematoma in mass trauma, a life saving and time saving procedure: our experience in earth quake of oct 8th, 2005.

“…EDH is mostly located in the temporoparietal region, in approximately 70-80% of the patients, and extension to adjacent frontal and occipital areas is common (10). EDH occurs in 1-2% of head injured patients (3).…”

Single Burr Hole Evacuation of Extradural Hematoma in Pediatric Population: An Experience from the Biggest Children Hospital of Pakistan

“…22 In around 70 -80 percent of children, EDH is primarily seen in the temporoparietal region, but it can also extend into the neighboring frontal area, as demonstrated in our study. 23 Arterial damage is the most common cause of bleeding in EDH, is frequently caused by a skull fracture, which is a typical finding in EDH. In other studies, the findings were comparable, with skull fracture rates ranging from 48 to 90 percent.…”