CT SCAN: THE TOUR GUIDE FOR THE MANAGEMENT OF THE EDH
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 8
Abstract
EDH is considered as common and one of the important preventable complications in head injury. This condition may require aggressive management depending on the various clinical and radiological factors on continuous assessment of the patients. This study was carried out to evaluate the presentation of patients with extradural haematoma secondary to head injury and to assess the factors influencing the mode of management and also the outcome. 50 patients with cranial extradural haematoma were admitted in the neurosurgical department during the period of 2 years. 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 decompressive craniotomy. 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 the CT scan variables showing greater clot volume and thickness. Increased interval between the times of trauma to surgery and lower GCS was very significantly associated with unfavourable outcome along with CT scan variables irrespective of mode of management. From this study we concluded that neurological status of the patients on presentation and the volumetric details of EDH are the most important factors in management and outcome of EDH. With early detection and treatment due to better connectivity of the 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
Somashekhar S. N, Vikram T. P
Keywords
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- EP ID EP225155
- DOI 10.18410/jebmh/2015/149
- Views 110
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