Role of non operative management of extradural hematoma and reasons for conversion in patients admitted in tertiary care hospital in Bihar
Keywords:
Nonsurgical management, extradural hematoma, conversionAbstract
Background: A patient with traumatic extradural hematoma may be managed conservatively, but constant monitoring is recommended because neurological impairment might progress suddenly. Aim: The goal of our research was to look into the role of conservative management in traumatic extradural hematoma as well as the various reasons for conversion in patients admitted in tertiary care hospital in Bihar. Methods and Materials: Patients with EDH were divided into two groups. Group-A: those who needed the hematoma surgically removed right away. Group B was subdivided into two subgroups: B1- Individuals who were given conservative treatment. B2 - Individuals who responded well to conservative treatment despite the presence of EDH on its first CT scan and who required surgery during conservative management due to various reasons like neurodeterioration. Complete evaluations were carried out for other factors for conversion of non surgical management into surgical management. Results: In this study a total of 120 patients were evaluated. 31 patients were managed by surgery. 69 patients were managed conservatively. 20 patients were there in which conversion from conservative management to surgical management took place.
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Joyce T, Gossman W, Huecker MR. StatPearls [Internet]. StatPearls Publishing; Treasure Island (FL): Jan 11, 2022. Pediatric Abusive Head Trauma.
Baş NS, Karacan M, Doruk E, KaragozGuzey F. Management of Traumatic Extradural Hematoma in Infants Younger than One Year: 50 Cases - Single Center Experience. PediatrNeurosurg. 2021;56(3):213-220. doi: 10.1159/000514810. Epub 2021 Apr 8. PMID: 33831866.
Gencturk M, Tore HG, Nascene DR, Zhang L, Koksel Y, McKinney AM. Various Cranial and Orbital Imaging Findings in Pediatric Abusive and Non-abusive Head trauma, and Relation to Outcomes. ClinNeuroradiol. 2019 Jun;29(2):253-261.
Zwayed ARH, Lucke-Wold B. Conservative management of extradural hematoma: A report of sixty-two cases. NeurolClinNeurosci. 2018;2(2):5-9.
Kanematsu R, Hanakita J, Takahashi T, Park S, Minami M. Radiologic Features and Clinical Course of Chronic extradural Hematoma: Report of 4 Cases and Literature Review. World Neurosurg. 2018 Dec;120:82-89.
Tamburrelli FC, Meluzio MC, Masci G, Perna A, Burrofato A, Proietti L. Etiopathogenesis of Traumatic Spinal Epidural Hematoma. Neurospine. 2018 Mar;15(1):101-107.
Rao MG, Singh D, Vashista RK, Sharma SK. Dating of Acute and Subacute Subdural Haemorrhage: A Histo-Pathological Study. J ClinDiagn Res. 2016 Jul;10(7):HC01-7.
Walter T, Meissner C, Oehmichen M. Pathomorphological staging of subdural hemorrhages: statistical analysis of posttraumatic histomorphological alterations. Leg Med (Tokyo). 2009 Apr;11Suppl 1:S56-62.
Kralik SF, Yasrebi M, Supakul N, Lin C, Netter LG, Hicks RA, Hibbard RA, Ackerman LL, Harris ML, Ho CY. Diagnostic Performance of Ultrafast Brain MRI for Evaluation of Abusive Head Trauma. AJNR Am J Neuroradiol. 2017 Apr;38(4):807-813.
Basamh M, Robert A, Lamoureux J, et al. Epidural Hematoma Treated Conservatively: When to Expect the Worst. Can J Neurol Sci. 2016;43(1):74–81. [PubMed] [Google Scholar]
Bejjani GK, Donahue DJ, Rusin J, et al. Radiological and clinical criteria for the management of epidural hematomas in children. PediatrNeurosurg. 1996;25(6):302–8. [PubMed] [Google Scholar]
Bezircioglu H, Ersahin Y, Demircivi F, et al. Nonoperative treatment of acute extradural hematomas: analysis of 80 cases. J Trauma. 1996;41(4):696–8. [PubMed] [Google Scholar]
Bozbuga M, Izgi N, Polat G, et al. Posterior fossa epidural hematomas: observations on a series of 73 cases. Neurosurg Rev. 1999;22(1):34–40. [PubMed] [Google Scholar]
De Souza M, Moncure M, Lansford T, et al. Nonoperative management of epidural hematomas and subdural hematomas: is it safe in lesions measuring one centimeter or less? J Trauma. 2007;63(2):370–2. [PubMed] [Google Scholar]
Guay J. Estimating the incidence of epidural hematoma - is there enough information? Can J Anaesth. 2004;51(5):514–5. [PubMed] [Google Scholar]
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