Extradural haematomas in children: a 10-year review

British Journal of Neurosurgery
G DuthieP Chumas

Abstract

Extradural haematomas are a significant consequence of head injuries in children. The aim of this study was to evaluate the demographics, symptoms and signs, management and outcome of patients less than 18 years of age with extradural haematomas in our unit. We also specifically looked at repeat imaging performed, indications for this and its effect on further management. No previous reviews have included this. Fifty-six patients were identified from 01/01/1997 to 01/01/2007 for inclusion in this study. Their imaging was then reviewed as were the case notes. Of the patients studied, 70% were male. The average age was 10 years and 2 months with an average length of stay of one week. The commonest mechanisms of injury were a fall from height and an accident involving a bike. Presenting symptoms were documented in 40% of cases. 32% of patients had associated skull fractures. Six patients had other injuries, including long bone fractures and maxillofacial injuries. Glasgow Coma Scale was generally better on admission than pre-operatively and post-operatively was generally better than prior to surgery. Eight patients had neurological signs on admission, 11 had pre-operatively, and nine had post-operatively. 71% underwent a craniotom...Continue Reading

References

Nov 1, 1990·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·C J MolloyD A Simpson
Jan 1, 1982·Acta neurochirurgica·C MazzaR Da Pian
Apr 26, 2002·Pediatric Emergency Care·Gary J Browne, Lawrence T Lam
Nov 8, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·B BalmerR Gobet

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Citations

Mar 7, 2012·Neurosurgical Review·Jefferson Rosi JuniorManoel Jacobsen Teixeira
Jun 12, 2010·British Journal of Neurosurgery·Yusuf Erşahin
Jun 10, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D Clay SamplesIzabela Tarasiewicz
May 18, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Michael AmooDarach Crimmins
Aug 30, 2018·Pediatrics·Brian F FlahertySusan L Bratton

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