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Extradural haematoma : non surgical management
G K Prusty1, A Kumar1, S Kumar1
1Department of Neurosurgery, Bokaro General Hospital, Bokaro Steel City - 827004, India.
Neurology India
|March 16, 2018
Summary
Traumatic epidural hematoma (EDH) management varies. Non-surgical treatment may be suitable for minor head injuries with specific CT findings and close observation, but surgical evacuation remains the standard for extradural hematomas when uncertain.
Area of Science:
- Neurosurgery
- Trauma Care
Background:
- Traumatic epidural hematoma (EDH) is a significant neurosurgical condition.
- Clinical presentation and radiological findings in EDH can vary widely.
Purpose of the Study:
- To review cases of traumatic epidural hematoma.
- To evaluate management strategies for EDH based on clinical and radiological parameters.
Main Methods:
- Retrospective case review of nine patients with traumatic EDH.
- Literature review on the management of epidural hematomas.
Main Results:
- Common symptoms included drowsiness, dullness, papilledema, and hemiparesis.
- Hematoma thickness ranged from 1.6 cm to 4.3 cm.
- Conservative management was considered for specific cases of minor head injury with diffuse hematoma <1.5 cm without midline shift, provided close observation facilities were available.
Conclusions:
- Surgical evacuation is the definitive treatment for most extradural hematomas.
- Careful patient selection and monitoring may allow for non-operative management in select cases of traumatic EDH.
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