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

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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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