CLINICAL EPIDEMIOLOGY AND MANAGEMENT OF EXTRADURAL HAEMORRHAGE IN RURAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 35
Abstract
BACKGROUND Among the top ten causes of mortality in India, head injury was the tenth cause two decades back. But with increasing urban expansion and lifestyle changes, trauma will occupy the fifth position in the list of major killers and third position among causes of disease burden in 2020. The aim of this study was to analyse the clinical spectrum and to evaluate the postoperative outcome in patients with head injury with an extradural haematoma (EDH). MATERIALS AND METHODS This was a retrospective observational study which included 100 patients admitted in our Government Medical College, Miraj, Maharashtra, India over the past two years (01/06/2016 to 30/05/2018) with head injury, diagnosed to have traumatic Extradural Haemorrhage (EDH). A detailed clinical history was taken, physical examination done and CT scan performed in all patients. For patients who were subjected to surgery, operative and post-operative findings were noted. RESULTS Maximum patients suffering from EDH are in the age group of 21 - 40 years (56%) with male predominance (82%). Most common mode of injury is RTA (60%) under the influence of alcohol. Majority of cases reached hospital within 12 hours from time of injury (75%). 60% of patients with EDH presented with Loss of Consciousness (LOC) followed by vomiting in 70% of cases followed by Headache in 45% of cases. 58% of the cases presented with mass effect over brain parenchyma with frontotemporoparietal EDH as the most common location. Out of 100 cases, surgical approach was considered in 52 patients, while remaining 48 patients were managed conservatively. CONCLUSION Early presentation, with GCS in between 9 – 15, has good clinical outcome.
Authors and Affiliations
Neha S. Jadhav, Avinash S. K, Amol B. Kamble
Keywords
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- EP ID EP544785
- DOI 10.14260/jemds/2018/857
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