Outcome of the Traumatic Extradural Hematoma on the Basis of Size of Extradural Hematoma

  • Muhammad Tariq Northwest General hospital and research center
  • Mushtaq ahmad Mian
  • Muhammad Ali Hayatabad Medical Complex, Peshawar
  • Shahid Ayub Hayatabad Medical Complex, Peshawar
  • Waseem Dad Khan Northwest General Hospital & Research
  • Sohail Daud Khan Northwest General Hospital & Research

Abstract

Objective:  This study aimed to determine the outcome of traumatic extradural hematoma and to compare the outcome of small and large size extradural hematoma.

Materials & Methods:  A descriptive case series was carried out in the Department of Neurosurgery, Hayatabad Medical Complex Peshawar for six months and included 188 patients. The detailed history and clinical examinations were noted through a pre-designed proforma. Patients were followed post-operatively till the time of discharge and for either favorable outcome or unfavorable outcome according to the GOS.

Results:  73% of patients had extradural hematoma volume between 25 – 50 mL, while 27% patients had extradural hematoma >50 mL. 12% of patients had Glasgow Outcome Score (GOS) scores 1 – 3, while 88% of patients had GOS scores: 4 – 5. The mean GOS was 3. Patients with favorable outcomes were 88% while 12% had an unfavorable outcome.

Conclusion:  The size of the extradural hematoma has a strong correlation with outcome. The greater the size of the hematoma, the poorer the outcome.

References

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Published
2021-06-14
Section
Original Articles