Epidural hematoma: Vigilance beyond guidelines

Bhorkar, Nitin; Dhansura, Tasneem; Tarawade, Urmila; Mehta, Sanket

doi:10.4103/ijccm.ijccm_71_18

Cited by 7 publications

(2 citation statements)

References 10 publications

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“…Thus, clinical manifestations may be delayed, with a resultant delay in recognition and evacuation. Generally, an EDH volume greater than 50 cm prior to evacuation results in a worse neurological outcome and consequent mortality (11,12) .…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Extradural Hematoma in Head Injuries

Mostafa¹,

Taha²,

El-Mesallamy³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Head injury is public health threat that is recognized as causing death and impairment. It reflects a deplorable financial burden on developing countries. Objective: The aim of the present study was to evaluate surgical outcomes of traumatic extradural (or epidural) hematoma (EDH). Patients and methods: this study included 100 cases with acute traumatic extradural hematoma who admitted to Neurosurgery Department, Zagazig University Hospitals. Glasgow coma scale score was assessed pre-and postoperatively. Results:The mean age of the studied patients was 35.2± 15.9, 66% of cases were males. According to the mechanism of trauma, 33% had road traffic accidents, 64% had head injury from fall and 3% had head injury from assault among studied patients. Regarding site of hematoma, 15 % was frontal; 36% was temporo-parietal; 33% was posterior fossa. The mean hospital stay was 14.2±5.6 days. Conclusion:The prognosis of patients with DEH has been shown to be improved by early diagnosis and immediate treatment.

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Section: Discussionmentioning

confidence: 99%

Outcomes of Extradural Hematoma in Head Injuries

Mostafa¹,

Taha²,

El-Mesallamy³

et al. 2023

The Egyptian Journal of Hospital Medicine

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“…These hematomas often present beneath a fracture of the squamous part of the temporal bone [9]. Based on radiographic progression, it can be classified into one of the following [10,11]: -type I: acute; occurs on day 1 and associated with a "swirl" of un-clotted blood; -type II: subacute occurring between days 2 to 4 and usually solid; -type III: chronic occurring between days 7 to 20; mixed or lucent appearance with contrast enhancement. Epidural hematoma is a neurosurgical emergency.…”

Section: Russian Journal Of Neurosurgerymentioning

confidence: 99%

Small epidural hematoma for surgery

Elenany

2020

Nejrohirurgiâ (Mosk.)

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Introduction. Epidural hematoma (EDH) is when bleeding occurs between the tough outer membrane covering the brain (dura mater) and the skull. The most common cause is typically head injury. Diagnosis is typically by a computed tomography (CT) scan or magnetic resonance imaging. If large EDH, treatment is generally by urgent surgery in the form of a craniotomy or burr hole. Without treatment, death typically results. We explore a surgical case of small frontal EDH in patient with Glasgow Coma Score 8.Case report. Thirty years male patient was admitted at Emergency Hospital with Glasgow Coma Score 8 on ventilator. Rapid CT brain was done and showed massive brain edema with small EDH. Conservative treatment had been tried for 24 hours, but with no improvement as we could not give mannitol therapy to this patient. Follow-up CT showed the same EDH and brain edema. We tried new policy and evacuated EDH with giving mannitol and furosemide therapy postoperative. The patient became with Glasgow Coma Score 13 and improved in 7 days.Conclusion. Evacuation of small EDH may be helpful in some conditions not responding to conservative treatment especially in severe brain edema.

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