Abstract:Abstract:Objective: The authors present their experiences in the management of extradural haematoma in children which involved an aggressive diagnostic approach, prompt surgical evacuation of the haematoma results in an excellent outcome.
“…42 Even pediatric victims of RTCs often suffered from extradural hematoma. 43 Postmortem examination of RTC victims revealed a substantial proportion with subdural (43%) and subarachnoid hematoma (36%). 44 Extensive trauma from RTCs was the second most common cause of surgical death.…”
Bangladesh has a gradually rising high morbidity and mortality rate related to road traffic crashes (RTCs). Despite this, the availability of extensive post-crash care is nearly nonexistent.nThe prehospital care that a patient receives following an RTC is rudimentary, and hospitalbased care is often inadequate. This frequently results in catastrophic health costs and consequences for the victims and their families.n These conditions will likely obstruct the achievement of the Sustainable Development Goals by 2030.
“…42 Even pediatric victims of RTCs often suffered from extradural hematoma. 43 Postmortem examination of RTC victims revealed a substantial proportion with subdural (43%) and subarachnoid hematoma (36%). 44 Extensive trauma from RTCs was the second most common cause of surgical death.…”
Bangladesh has a gradually rising high morbidity and mortality rate related to road traffic crashes (RTCs). Despite this, the availability of extensive post-crash care is nearly nonexistent.nThe prehospital care that a patient receives following an RTC is rudimentary, and hospitalbased care is often inadequate. This frequently results in catastrophic health costs and consequences for the victims and their families.n These conditions will likely obstruct the achievement of the Sustainable Development Goals by 2030.
Introduction
The extra dural hematoma is a blood collection between the cranial vault and the dura mater. It is a neurosurgical emergency whose statistical data are poorly known in the Republic of Benin.
Objective
The aims of this study are to assess epidemiology, therapeutic and outcome of traumatic extra dural hematomas for children admitted to the surgical department of CHUD-B/A from 2012 to 2017.
Methods
This was a cross-sectional, descriptive and retrospective study over a period from January 1st, 2012 to December 31st, 2017.
Results
One hundred and seventy-eight cases of children aged between 0-15 years were examined for brain traumatic injury. Twenty-seven 27 (15.2%) cases of extra dural hematomas were retained. The most represented age group was between 11-15 years with a frequency of 42.1%. The male sex was more represented (78.9%). Road traffic accidents were the main aetiology (57.9%). 52.6% had a mild head injury, 26.3% had a moderate head injury and 21.1% had a severe head injury. On brain scan the frequently observed location was temporo-parietal (31.6%). Acute anemia was observed in 16 children. Seventeen children were operated on. The operation involved evacuation of extra dural hematoma by cranial bone flap with suspension of the dura mater. There were no deaths.
Conclusion
The availability of brain CT makes the diagnosis of extra dural hematoma easier. Its management is neurosurgical with a favourable post-operative evolution in all cases in this series.
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