Abstract
The effects of traumatic extradural hematoma (EDH) are potentially reversible if treated early. Pediatric EDH differs from its adult counterpart because of the differential elastic and adherence properties of skull bone and dura respectively. There is a paucity of literature regarding prognosis and factors predicting the outcome of pediatric EDH. In this study, we aimed to study the factors predicting outcome and prognosis of traumatic EDH in the pediatric age group. We did a retrospective chart review of all pediatric EDH operated in our center between 2011 and 2017. Factors affecting prognosis were analyzed through univariate and multivariate analyses. Two hundred one patients qualified for the study. There were 159 boys and 42 girls with a sex ratio of 3.78:1. The most common modes of injury were road traffic accidents (n = 108, 53.3%) followed by falls from a height. The most common clinical presentation was vomiting (n = 168, 83.3%), followed by headache (n = 72, 35.8%). Pupillary asymmetry was present in 11.4% (n = 23) patients. The mean GCS at presentation was 12.71. The mean volume of EDH was 37.18 cc, with a mean maximum thickness of 23.19 mm. The most common location of the EDH was at temporoparietal region (n = 67, 3...Continue Reading
References
Jan 1, 1975·Child's Brain·M ChouxJ C Peragut
Jan 1, 1990·Acta neurochirurgica·A PaşaoğluH Uzunoğlu
Feb 1, 1985·Journal of Neurosurgery·M S BergerH M Bartkowski
Jun 1, 1985·Journal of Neurosurgery·P DhellemmesG Combelles
Jul 1, 1968·Journal of Neurosurgery·K G Jamieson, J D Yelland
Jan 1, 1982·Acta neurochirurgica·C MazzaR Da Pian
Jan 1, 1994·Acta neurochirurgica·C KudayM Hanci
Jan 1, 1994·Pediatric Neurosurgery·A L dos SantosR Marino Júnior
Apr 1, 1993·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Y ErşahinE Güzelbag
Jan 1, 1995·Pediatric Neurosurgery·A MohantyB S Das
Oct 26, 2000·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·E J HerreraJ C Suarez
Oct 25, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·A V CiureaK N Fountas
Aug 15, 2008·Journal of Neuroradiology. Journal De Neuroradiologie·T A G M Huisman, F T C Tschirch
Jun 12, 2010·British Journal of Neurosurgery·Yusuf Erşahin
Dec 15, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Weiying ZhongChao You
Jan 29, 2014·Journal of Pediatric Neurosciences·Ashok MunivenkatappaDhaval Shukla
Sep 17, 2015·Acta neurochirurgica·Akhil DeepikaDhaval Shukla