Naeem Ul Haq, Adnan Ahmed, Mukhtiyar Ali, Muhammad Ishaq, Sana Ullah, Waqas Mehdi, Mehtaabudin

Surgical Management of Traumatic Epidural Hematomas

Naeem Ul Haq, Adnan Ahmed, Mukhtiyar Ali, Muhammad Ishaq, Sana Ullah, Waqas Mehdi, Mehtaabudin



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ABSTRACT

Aim: To find out predictive significance and impact on neurosurgical treatment in EDH patients

Setting & duration of study: Neurosurgery unit, Mardan Medical Complex, Mardan, from Dec, 2017 to Dec, 2019

Sample size: 120 individuals with traumatic epidural hematoma were treated through surgical intervention.

Result: Out of 120 cases, 74% were male, while 26% were female. Motor vehicle accidents caused 86% of the injuries, while falls and heavy hits caused 14% of the injuries. On well defined tomography imaging of the brain, 14% individuals exhibited the swirl sign. The epidural hematoma had a strong association with preoperative Glasgow score, preoperative mydriasis, time from injury to CT scan, and intraoperative hematoma volume.

Conclusion: Epidural hematoma has an excellent outcome, if managed on time. The epidural hematoma may be linked with a cataclysmic result, with comparatively high rates of mortality and morbidity.

Keywords: Epidural hematoma, Glasgow Outcome Scale



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