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The management of epidural haematomas--surgical versus conservative treatment
European Journal of Pediatrics
|March 1, 1994
Insights
Conservative management of epidural hematomas in pediatric patients with severe head trauma is feasible. This study reviews clinical and radiological features to guide conservative treatment criteria.
Area of Science:
- Pediatric Neurosurgery
- Trauma Management
Background:
- Severe head trauma in children can lead to epidural hematomas.
- Conservative management is an emerging approach for pediatric epidural hematomas.
Observation:
- 14 pediatric patients with severe head trauma and epidural hematomas were treated between 1990-1993.
- Some patients were managed conservatively, following recent publications.
Findings:
- The study details clinical and radiological features of pediatric patients with epidural hematomas.
- Criteria for conservative management of pediatric epidural hematoma are discussed.
Implications:
- This research informs the criteria for conservative management of pediatric epidural hematomas.
- Understanding these criteria can optimize non-surgical treatment for head trauma in children.
Abstract:
We treated 14 children and infants during 1990-1993 who suffered severe head trauma with consequent epidural haematomas. We tried, in accordance with several recent publications, to follow part of them conservatively. The report describes the clinical and radiological features of these patients and discusses the criteria for conservative management of epidural haematoma in paediatric patients. The relevant literature is reviewed.