Are Pediatric Extradural Hematomas Associated With Better Outcome? An Analysis of 120 Cases.

Dr. A.Sendilkumar; Dr.Rohit Balasubramaniam; Dr.P.Magesh

Volume : IX, Issue : III, March - 2019

Are Pediatric Extradural Hematomas Associated With Better Outcome? An Analysis of 120 Cases.

Dr. A. Sendilkumar, Dr. Rohit Balasubramaniam, Dr. P. Magesh

Abstract :

Aim: To analyze the variables influencing the outcome of extradural hematomas (EDH) in the pediatric age group and management options. Materials and methods: Retrospective analysis of clinical and radiological data of all patients of age between 1 and 12 years admitted in a level I trauma center with traumatic ain injury (TBI) and diagnosed to have extradural hematoma on Computed Tomography (CT). Results: Of the total 120 children, 66 were male and 54 were female. Road traffic accident was the commonest cause. The most common presenting symptom was loss of consciousness. On admission, 103 children presented with Glasgow Coma Scale (GCS) of 13–15. 73.3 % had associated skull fractures. In 14 patients the CT ain also revealed additional findings. 104 patients were managed conservatively and 16 underwent surgical evacuation. The need for surgery was based on EDH volume, midline shift, pupillary asymmetry and GCS. The overall mortality was 2.5%. Conclusion: Majority of children with EDH have a good prognosis. Surgical intervention in needy cases results in a favourable outcome.