The Expectant Treatment of ???Asymptomatic??? Supratentorial Epidural Hematomas

Re-Formation of Acute Parietal Epidural Hematoma Fallowing Rapid Spontaneous Resolution in a Multitraumatic Child: A Case Report

“…Smaller EDH can be treated conservatively with perfect clinical and radiological outcome. [3] Balmer et al [4] reported good outcome after conservative management of children with a radiologically significant EDH who present with a normal neurological status; size alone is not an indication for surgical treatment of EDH. Various authors have reported resolution of EDHs managed conservatively, but rapid resolution of EDHs is rarely seen and reported by few.…”

A Novel Surgical Approach to Traumatic Intracranial Epidural Hematoma

“…Once the diagnosis of epidural hematoma has been made surgical evacuation is usually the standard treatment procedure to prevent mortality or neurologic morbidity. Not all cases of acute EDH require immediate surgical evacuation [11] [25]. If the lesion is too small and patient is in good neurological condition observing patient with frequent neurological examinations is reasonable.…”

“…Patients with EDH who meet surgical criteria and receive surgical treatment can have an excellent prognosis presumably owing to limited underlying primary brain damage [10]. Although craniotomy provides an effective evacuation of hematoma there is insufficient data to support one particular surgical treatment method [1] [11]. A small number of minimally invasive methods have been reported in the literature for the management of EDH in certain circumstances and satisfactory outcome was reported.…”

“…Although craniotomy provides more complete evacuation of the epidural hematoma, there are insufficient data to support one particular surgical treatment method [1] [11]. Recently minimal invasive technique has been attempted and valuable outcomes were reported in various literature.…”

Traumatic extradural hematoma — role of non-surgical management and reasons for conversion

“…Traumatic epidural hematomas which are minimally symptomatic do not require surgical intervention. Despite the well performed clinical studies and the experience of many neurosurgeons using prompt evacuation of EDH, there have been number of reports suggesting nonoperative management of selective EDH [11][12][13][14][15][16][17][18]. The use of CT scan in head trauma revealed a new class of EDH patients who may be treated conservatively.…”