Surgical Outcome of Extradural Haematoma Done Under Regional Scalp Block
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 6
Abstract
Introduction: Epidural or extradural hematoma (haematoma) is a type of traumatic brain injury (TBI) which is a major cause of death and disability worldwide, especially in children and young adults. Causes include fall from height, vehicle accidents, and violence. TBI can cause a host of physical, cognitive, emotional, and behavioral effects, and outcome can range from complete recovery to permanent disability or death. Materials and Methods: Data were collected by a pre-designed proforma. Patient's information was obtained through using patient's information sheet which involved questionnaire, clinical findings, CT scan findings. Purposive sampling method was followed for the study. It was a prospective observational study. Head injury patients diagnosed clinically and radiologically as EDH, 60 were included in the study. Group A: (Regional Scalp Block): Thirty and Group B (General Anaesthesia): Thirty. History was taken from the relatives or attendants of the patients. Surgery was conducted and complication and outcome were recorded and compared between the two groups. Results: At discharge, among regional scalp block cases 16.7% had a good recovery, 83.3% had a moderate disability and among cases under GA 10.0% had a good recovery and 90.0% had a moderate disability. Two groups had no significant difference considering outcome at discharge. After one month, among regional scalp block cases 3.3 % had a good recovery, 96.7% had a moderate disability and among the cases under GA the outcome was same as scalp block. The surgical out come under regional scalp block was comparable with that of under GA.
Authors and Affiliations
Md. Jahangir Alam, Md. Tofael Hossain Bhuiyan, Md. Shafiul Alam, Md. Moajjam Hossain Talukder, Md. Shafiqul Islam, Sukriti Das, Raziul Haque
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