Association of Extradural Hematoma with Linear Skull Fracture: a Clinical Study of 79 Cases in a Teaching Institute
Objectives: To determine the frequency of extra dural hematoma in patients with linear skull fracture due to head injury.
Material and Methods: This cross-sectional study was conducted in the Department of Neurosurgery, Mardan Medical Complex, Mardan from June 2016 to May 2017. Patients of either gender with linear skull fracture and above 2 years of age were included in the study, while patients with bleeding disorder or on anti-coagulants and those presenting 72 hours after injury were excluded from the study. Patient’s demographic profile, type of injury, location of injury and CT findings were recorded and documented on pre designed proforma. Data was analyzed using SPSS version 20.0
Results: Out of 79 patients, 55 (70%) were male and 24 (30.3%) were female. Age ranged from 2 years to 60 years (mean 33 years ± 2.54 years). Among these patients the most common cause of head injury was road traffic accident in 44 (55%), followed by fall from height in 20 (25.3%) and assault in 10 (12.6%) of patients. The most commonly fractures skull bone was parietal in 38 (48%) of patients, followed by temporal bone in 21 (26.5%), frontal in 12 (15.1%), and occipital in 8 (10%) of patients. The frequency of extradural hematoma in linear skull fracture was 21 (26.5%).
Conclusion: There is strong association of extradrual hematoma with linear skull fracture, therefore a fully conscious person having head injury with skull fracture should be highly suspected for intracranial hematoma.
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