SURGICAL MANAGEMENT AND OUTCOME ANALYSIS OF EXTRADURAL HEMATOMA AT COMBINED MILITARY HOSPITAL RAWALPINDI

Extradural Hematoma

Abstract

Objective: The aim of this study is to see the frequency of extradural hematomas (EDH) at neurosurgical centre CMH Rawalpindi.
Study Design: Descriptive study
Place and Duration of Study: Department of Neurosurgery CMH Rawalpindi over a period of 2 years (Jan 2001 to Jan 2003)
Patients and Methods: All patients with head injury reporting to trauma center CMH Rawalpindi from 2001 to 2003 were reviewed. Using non-probability convenient sampling, patients with closed head trauma were included in the study.
Results: A total of 1215 patients were reviewed during the study period. Maximum patients were under 12 years of age. Extradural haematoma was found in 23 (2%) patients. Out of 23 patients, 18 (78%) were males and 5 (22%) were females, the male to female ratio was 3.5:1. Alteration of consciousness was the most common presentation (61%). Location of EDH was temporoparietal in majority of patients. Bilateral EDH was found in 1 patient only. At 6 months follow up, good recovery was observed in 15 (65%) patients.
Conclusion: Level of consciousness at the time of surgery is the single most important decisive factor in the outcome hence early diagnosis and surgical intervention is essential
Keywords: Edh, frequency, craniotomy/craniotomy, outcome.