A Study of Incidence, Management, and Outcome of Paediatric EDH (Extradural Hematoma in Children)

Vidhya Narasimhan; Bruno-Mascarenhas; Mariano Anto J

Volume : IX, Issue : III, March - 2019

A Study of Incidence, Management, and Outcome of Paediatric EDH (Extradural Hematoma in Children)

Vidhya Narasimhan, Bruno Mascarenhas, Mariano Anto J

Abstract :

Background: Children are not little adults, and the management of outcome of head injuries in general and extradural hematoma, in particular, are not the same as in Adults. Aim: To study the Incidence, Management and Outcome of Paediatric EDH (Extradural Hematoma in Children) Settings and Design: This study is based on Analysis of Case Records Materials and Methods: Patients aged 12 years and below, admitted with Extra Dural Haematoma at the Institute of Neurology, Madras Medical College between January 2013 and July 2014 were studied. Follow up period ranges from 3months to 18 months Statistical analysis used: Epi–Info, MS–Excel, SPSS Results and Conclusions: Paediatric EDH is relatively common Fall is the most common Cause of EDH in Children Age 5 to 12 is most commonly affected among all age groups Road Traffic Accidents Caused Extra Dural Hematomas more commonly in older age groups The fracture was more common in Children Less than two years of age Children, less than five years had a better outcome Fracture did not affect the outcome of the injury Low GCS at admission did not always accurately predict the outcome Cases with less than 25 ml did not require surgery, cases with volume 25–30 required surgery based on serial assessment and cases more than 30 ml required surgery Patients with Posterior Fossa EDH more than 15 ml required surgery Indications of Surgery were signs of herniation, mass effect, and volume of clot 97 % of patients had a good outcome, and 3 % died The mortality rate is lower in children than in adults