Clinical Evaluation and Management Outcome of Extradural Haematoma
Journal Title: MVP Journal of Medical Sciences - Year 2018, Vol 5, Issue 1
Abstract
Aims and Objective: The purpose of this study was to evaluate the clinical presentation of patient with extradural hematoma secondary to head injury and to decide upon the mode of management and also to study the results of the management and the outcome and the factors affecting morbidity and mortality. Materials and Methods: Data was collected through a prescribed proforma from the patients admitted in Surgery Department, Dr. Vasantrao Pawar Medical College and Hospital, Adgaon with extradural hematoma during the period of November 2014 to October 2016. The sample size of the study was 30 patients who completed the inclusion and exclusion criteria. All the patients with head injury on CT scan diagnosed to have EDH were included in the study. The management includes conservative measures and/or surgical intervention. The patients were followed for the results during the period of stay in hospital. Results: Temporo-Parietal (20%) and temporal region (20%) was the most common location of EDH. The most significant factors which influences surgical mode of management were higher age group, lower GCS and CT scan variables. Lower GCS was very significantly associated with unfavorable outcome along with CT scan variables irrespective of mode of management. Conclusion: From this study we concluded that neurological status of patient on presentation and the volumetric details of EDH are the most important factors in management and outcome of EDH. EDH patients were managed surgically and carried high number of unfavorable outcome previously. With early detection and treatment due to better connectivity of patients to hospitals, with the help of CT scan and good hospital care, we can expect a decrease in the number of unfavorable outcomes.
Authors and Affiliations
Udaykumar Ramrao Badhe, Sudhir Bhamre
Keywords
Related Articles
- EP ID EP429140
- DOI 10.18311/mvpjms/2018/v5/i1/11006
- Views 148
- Downloads 0
A Study of Cardiotocography During Active Labour to Assess the Perinatal Outcome in High Risk Pregnancy
Introduction: Cardiotocography is a test performed duringactive labour. It was used to assess the fetal wellbeing. Aim: To evaluate the CTG in high risk pregnancies and assess the perinatal outcome. Materials and Methods...
Functional Outcome of Arthroscopic Reconstruction of Anterior Cruciate Ligament using Quadrupled Semitendinosis Autograft
Introduction: The anterior cruciate ligament is truly a "CRUCIAL" ligament of the knee. It prevents anterior translation of tibia over femur and has definite role in providing rotational stability of knee. The aim is to...
Bronchial Carcinoid: Case Report and Review of Literature
Bronchopulmonary carcinoid tumors which are slow growing neuroendocrine tumors arising from Enterochromaffin (EC) cells, accounts for 10% of all carcinoid tumors. Mentioned here is a case report of 46 year old male with...
Clinical Study of Diagnosed Cases of Dengue Fever in Tertiary Care Hospital in North Maharashtra
Aims and Objective: To study the clinical presentations, laboratory profile, hematological complications and outcome of dengue fever. Materials and Methods: Descriptive study was carried which includes adult males and fe...
Correlation between Central Corneal Thickness and Intraocular Pressure among Normal IOP, Ocular Hypertensive and Primary Open Angle Glaucoma Patients
Background: Glaucoma is an optic neuropathy characterized by a typical appearance of optic nerve head and characteristic visual field loss. The diagnosis of primary glaucoma, normal tension glaucoma and ocular hypertensi...