Supratentorial extradural hematoma in children: An institutional clinical experience of 65 cases

Abstract

Aim and Objective:To survey the epidemiology, management, and severity of extradural hematoma (EDH) in children.Materials and Methods:All patients of EDH (n = 65) in the age group of 0–16 years admitted to our department during the period of August 13 and July 14 were analyzed retrospectively from the hospital records. In all patients, age, sex, mode of injury, clinical presentation, site of EDH, management, duration of hospitalization, and outcome were evaluated.Observation and Results:Of 65 patients, males were 70.76% with a male to female ratio of 2.4:1, most of the victims (47.69%) were in the age group of 11–16 years. Mean duration of hospitalization was 4.32 days. The most common mode of injury was fall from height in 29 cases (44.61%) followed by road traffic accident (RTA) in 23 cases (35.35%). Temporoparietal EDH was the most common computed tomography finding present in 22 (33.84%) patients. 67.69% patients presented to casualty with minor head injury having Glasgow coma scale (GCS) between 14 and 15. Most common presenting feature was vomiting in 52 cases (80%) and next to it was altered sensorium. The mortality rate was 7.69% (n = 5).Conclusion:Extradural hematoma is a life-threatening entity encountered in pediatric head injury. Timely intervention and diagnosis decrease mortality to a great degree. Most of the mortality is encountered in patients who presented late at the neurosurgical unit with low GCS.

Trephination mini-craniectomy for traumatic posterior fossa epidural hematomas in selected pediatric patients

“… 19 , 20 , 21 , 22 However, little evidence is available regarding the feasibility of using trephination mini-craniectomy for traumatic PFEDH in children. 23 , 24 Therefore, we attempted to evaluate its safety and efficacy by retrospectively analyzing clinical data from pediatric patients who were surgically treated for PFEDH in our department.…”