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[Prolonged epidural hemorrhage].

I Sulla1, J Fagul'a, M Santa

  • 1Neurochirurgická Klinika FNsP, Kosice.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|April 1, 1991
PubMed
Summary

This study reports on four male patients who underwent surgical removal of epidural hematomas following head injuries. Early diagnosis via CT scans led to positive outcomes, with most patients recovering without significant neurological deficits.

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Area of Science:

  • Neurosurgery
  • Neuroradiology
  • Trauma Surgery

Background:

  • Epidural hematomas are a significant post-traumatic intracranial complication.
  • Timely diagnosis and surgical intervention are crucial for favorable outcomes in patients with head injuries.

Observation:

  • Four male patients aged 4 to 51 years presented with epidural hematomas following head trauma.
  • Hematoma locations varied, including the posterior cranial fossa, occipital, and temporal regions, with one case involving concurrent subdural hemorrhage and brain contusion.
  • Skull fractures were present in three patients but were often inconspicuous and detected during surgery.

Findings:

  • Computed tomography (CT) was instrumental in establishing the correct diagnosis of epidural hematomas.
  • Surgical evacuation of the epidural hematomas was performed between the 4th and 20th day post-injury.
  • All four patients survived the surgical intervention.

Implications:

  • Early detection of epidural hematomas using CT scans significantly improves patient prognosis.
  • Surgical management of epidural hematomas, even in delayed presentations, can lead to good recovery.
  • While most patients experienced full recovery, one case resulted in mild hemiparesis, highlighting the potential for residual deficits.

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