Traumatic extradural haematomas in pediatric age group

Paşaoğlu, Aydın; Orhon, C.; Koc, Kemal; Selçuklu, Ahmet; Akdemir, Hidayet; Uzunoğlu, Hakan

doi:10.1007/bf01809456

Cited by 35 publications

(52 citation statements)

References 19 publications

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“…Only 5% of the victims were infants. These data is correlated with other reported series of EDH in children (9,12,14,21,24). This is due to the high-velocity trauma mechanism in the older age group (27).…”

Section: Discussionsupporting

confidence: 90%

“…Out of 70 victims of fall, (33/70) were in domestic, (28 /70) in sports and recreation; and (9/70) were in work. Similar results have been reported by other authors (14,20,23,24,27) but Dhellemmes found that 64% patients with EDH had been involved RTA and other causes had occurred less frequently (11). RTA is the commonest mode of injury in adult also (9,16).…”

Section: Discussionsupporting

confidence: 86%

“…Traumatic extradural haematoma (EDH) in children accounted for 12 % of the 1460 patients with an epidural hematoma operated in our institution in the same period. This lower incidence of acute epidural hematoma in the children compared with adults is also reported in other series and is attributable to the tight adherence of the dura mater to the inner table of the skull (11,16,24,27). In our series, the age of the patients ranged from 1.8 years to 18 years with a mean age of 9.49 years.…”

Section: Discussionsupporting

confidence: 80%

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Extradural haematoma in children: surgical experiences and prospective analysis of 170 cases

Km²,

Mahmood³

et al. 2011

Turkish Neurosurgery

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AIm: We present our experiences in the management of extradural haematoma in children which involved an aggressive diagnostic approach, prompt surgical evacuation results in an excellent outcome. mAterIAl and methOds: 170 EDH patients who underwent surgery in our department from January 2006 to July 2010 included in this prospective study. Each patient evaluated in term of age, sex, mode of injury, localization of haematoma, clinical presentation, CT findings, operative measures and outcome.results: Out of 170 cases 72%, (n=122) were boys and 28 %,( n=48) were girls. The boys to girls ratio was 2.54: 1. Age ranged from 1.8 to 18 years with a mean age of 9.49 years. Most of the victims are in the 11-18 years age group 44% ( n=74). The most common mode of injury was fall 41%, (n = 70) followed by Road traffic Accident (RTA) 32%, (n = 54) .The most common clinical presentation was altered sensorium 61 %, (n= 104), followed by headache and/or vomiting 56 %, (n = 96). The mortality rate was 8%.COnClusIOn: EDH is recognized as one of the most rewarding neurosurgical emergencies. It must be diagnosed in the early period of the trauma and evacuated early to prevent potential mortality and morbidity. Different factors affect the outcome of extradural haematoma Surgery including age of the patient, presence of cranial fractures, associated brain lesions and pre-operative neurological condition of patient, duration of time interval between onset of coma and surgical intervention. Better prognosis is seen in patients less than 10 years of age. sOnuÇ: Beyin cerrahisi acil yaklaşımları içerisinde en yüzgüldürücü sonuçları olan patolojilerden birisi de ekstradural hematomlardır. Bu tür hematomlar travmanın erken döneminde tanınmalı ve cerrahi tedavisi mortalite ve morbiditeyi önlemek için en hızlı şekilde yapılmalıdır. Ekstradural hematomların cerrahi sonuçları değişik faktörler tarafından etkilenmektedir; bunlar, hastanın yaşı, kranial kemik kırıklarının olması, beyinde ek lezyonların olması, hastanın ameliyat öncesi klinik durumu ve hastanın komaya giriş süresi ile ameliyata alınış süresi arasında geçen süre gibi etkenler sayılabilir. Yaşı 10'dan küçük olan hastaların prognozu daha iyi olmaktadır.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 80%

See 1 more Smart Citation

Extradural haematoma in children: surgical experiences and prospective analysis of 170 cases

Km²,

Mahmood³

et al. 2011

Turkish Neurosurgery

View full text Add to dashboard Cite

show abstract

“…Out of 56 victims of fall, (29/56) were in domestic (22 /56), in sports and recreation; and (7/56) were in work. Similar results have been reported by other authors 7,8,10,14 but Dhellemmes found that 64% patients with EDH had been involved RTA and other causes had occurred less frequently 11 . RTA is the commonest mode of injury in adult also.…”

Section: Resultssupporting

confidence: 90%

“…Thus, the lack of any guidelines regarding the appropriate management of EDH in pediatric patients and particularly in infants makes the management of this specific group of patients all the more complicated 3 .The reported mortality rates of EDH in children are quite different varying between 0% and 50%. 7 These considerable variations in the outcome and lack of data that provide a clear cut picture of EDH in children prompted us to carry out this study. We present our experience with 138 cases of acute epidural hematoma in children less than 18 years of age.…”

Section: Introductionmentioning

confidence: 99%