Outcome of Traumatic Extradural Haematoma Managed Surgically: Our Experience

Agrawal, Aditi; Agrawal, Chandrashekhar; Kumar, Anil; Adhikari, S

doi:10.4314/njotra.v6i2.29303

Cited by 8 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…EDH is accumulation of blood between the inner table of skull and the stripped off dural membrane (1,17). 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).…”

Section: █ Discussionmentioning

confidence: 99%

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.

Aurangzeb

Ahmed²,

Maqbool³

et al. 2012

Turkish Neurosurgery

View full text Add to dashboard Cite

The present study was performed in patients with EDH in order to define the clinical outcome of EDH evacuated through a single burr hole. █ MATERIAl and METhODSThis descriptive study was performed in the Department of Neurosurgery, Ayub Teaching Hospital (ATH), Abbottabad, Pakistan from 8 th October to 12 th October 2005, during the earthquake. ATH is 1000-bed hospital with a well-established unit and serving about 7 million population. We had two qualified neurosurgeons at the time of the earthquake. On the first day of the earthquake 18 patients were operated for EDH, followed by 13 patients on the second day and 6 patients on the third day. █ INTRODUCTIONHead injury is a major health problem. It is reported that 1% of all deaths and 15% of deaths occurring between 15 and 24 years are secondary to head injury (12,16). The major cause of preventable deaths in head injuries is a delay in diagnosis and treatment of intracranial hematomas (16,20).Deterioration of conscious level and developing focal neurological signs signify a rapidly growing extradural hematoma (EDH) (16). In these cases, an urgent computed tomography (CT) scan will reveal biconvex hyperdense EDH causing effacement of the ventricle and midline shift. Craniotomy/craniectomy and evacuation of the hematoma is the treatment of choise to save the life of these patients (16). AIM:To observe the outcome of burr hole evacuation of extradural hematoma (EDH) in mass head injury. MATERIAl and METhODS:This study included patients of any age who sustained head injury in the earthquake of October 8, 2005, were diagnosed as EDH on computed tomography (CT) scan and were admitted in the neurosurgery ward over a period of 3 days. All patients were followed by serial CT scans and neurological assessments. RESUlTS:A total of 36 patients were included in this study. There were 25 male and 11 female patients and the age range was from 5 years to 50 years. All cases were the victim of the earthquake. All patients underwent surgery for evacuation of EDH through a single burr hole. One patient required craniotomy for EDH due to neurological deterioration on the second postoperative day, and 1 patient died. CONClUSION:As EDH is potentially fatal lesion, evacuation of EDH through a single burr hole has good outcome with less chances of recurrence and complications in mass head injured patients as seen with earthquakes.

show abstract

Section: █ Discussionmentioning

confidence: 99%

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.

Aurangzeb

Ahmed²,

Maqbool³

et al. 2012

Turkish Neurosurgery

View full text Add to dashboard Cite

show abstract

“…1,3 Larger size hematomas and hematomas associated with mass effect need surgical evacuation, which is followed by standard neurosurgical care and good recovery. 1,3,6, [13][14][15][16] The outcome is determined by the neurologic status of the patient, severity of the underlying injury to the brain, and rapidity of neurosurgical intervention. 1,2,13,14…”

Section: Discussionmentioning

confidence: 99%

Concomitant Overlapping Acute Extradural and Subdural Hematoma

Agrawal

Kumar

Kiran

et al. 2019

IJNT

View full text Add to dashboard Cite

Usually following traumatic brain injury, extradural hematoma (EDH) and subdural hematoma (SDH) appear in opposite locations, with EDH being a coup injury and SDH being a contrecoup injury. We present a case of 24-year-old male patient who had concomitant overlapping acute EDH and SDH requiring neurosurgical intervention and discuss the clinical relevance of these coexisting lesions. Concomitant overlapping EDH and SDH are uncommon lesions and need close observation and planned follow-up imaging.

show abstract

“…It is assumed that the EDH has the greatest importance among hematomas, due to its easy diagnostic and treatment [8]. [16].…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Evacuation Extradural Hematoma via Craniotomy under Local Anesthesia

Sheikh¹,

Shahnawaz²,

Abdullah³

et al. 2017

View full text Add to dashboard Cite

Background: The EDH occurs due to the accumulation of bleeding between the inner table of the skull and the outer layer of the dura mater. It is said to account for 1% -3% of all head injured patients and 9% of those who are comatose. The only life-saving treatment of choice is evacuation of EDH via craniotomy. Methods: This was a prospective observational study, where 40 patients were in follow-up for determining the outcomes of evacuation via craniotomy. Results: Majority of the patients were young and males. The main outcome of the evacuation was favorable (recovered), but certain unfavorable outcomes were also accounted like mortality. Conclusion: The pre-surgery clinical findings like consciousness of patient were an important indicator for EDH evacuation outcome. In most of the cases, the outcome was favorable with progressive recovery.

show abstract

Outcome of Traumatic Extradural Haematoma Managed Surgically: Our Experience

Cited by 8 publications

References 0 publications

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.

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.

Concomitant Overlapping Acute Extradural and Subdural Hematoma

Outcomes of Evacuation Extradural Hematoma via Craniotomy under Local Anesthesia

Contact Info

Product

Resources

About