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Our experience with surgically treated epidural hematomas in children
1Department of Neurosurgery, Keimyung University School of Medicine, Daegu, Korea.
Journal of Korean Neurosurgical Society
|June 28, 2012
Summary
Pediatric epidural hematomas (EDHs) are rare but surgically treated cases show excellent outcomes. Regardless of hematoma size or injury cause, children with EDHs experienced favorable prognoses in this study.
Area of Science:
- Pediatric Neurosurgery
- Trauma Surgery
- Neuroradiology
Background:
- Traumatic epidural hematomas (EDHs) in children are uncommon.
- Etiology and outcomes of pediatric EDHs vary geographically and temporally.
- Understanding factors influencing outcomes is crucial for surgical management.
Purpose of the Study:
- To review the contemporary causes and outcomes of pediatric EDHs.
- To identify variables associated with outcomes in surgically treated pediatric EDHs.
- To analyze a large consecutive series of surgically treated pediatric EDHs.
Main Methods:
- Retrospective review of 29 surgically treated pediatric EDH patients (2000-2010).
- Analysis of medical records, CT, and MRI scans.
- Evaluation of variables including age, injury severity, pupillary response, and brain injury.
Main Results:
- Traffic accidents were the most common cause (48.2%).
- Temporal lobe was the most frequent hematoma location.
- Zero mortality with excellent outcomes in 26 patients and good outcomes in 2 patients.
Conclusions:
- Pediatric EDH patients demonstrated excellent outcomes and prognoses.
- Outcome was favorable irrespective of EDH size, clinical status, or injury cause.
- No tested variables showed prognostic relevance for outcomes.
