Outcomes of Evacuation Extradural Hematoma via Craniotomy under Local Anesthesia

Abstract

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.

Outcomes of traumatic brain injury patients with acute epidural and subdural hematoma who underwent burr hole surgery: A two-year study at Kilimanjaro Christian Medical Centre, Tanzania

“…Therefore, the rate of re-operation after burr hole surgery is not high compared to Craniotomy, they both have relatively similar re-operation rate. 20 …”

Outcomes of Evacuating Subacute Extradural Hematoma Through a Minicraniectomy: A 5-Year Study

“…1 It is found in 1% to 3% of all head-injured patients. 2 Eighty-five percent (85%) of the bleeding is from the middle meningeal artery. 3…”

“…1 It is found in 1% to 3% of all head-injured patients. 2 Eighty-five percent (85%) of the bleeding is from the middle meningeal artery. 3 Urgent evacuation is indicated in patients with coma, anisocoric, and volume of more than 30 cm 3 , irrespective of the Glasgow Coma Scale (GCS) score.…”