Frequency of Extra-dural Hematoma in Patients with Head Injury

Authors

  • Mian Iftikhar-ul- Haq Department of Neurosurgery, PGMI / HMC,
  • AZMAT ULLAH KHATTAK Department of Neurosurgery
  • FAROOQ AZAM Department of Neurosurgery

Keywords:

EDH = Extra-dural hematoma,, CT Scan = Computerized Tomography Scan,, BI = Traumatic Brain Injury.

Abstract

Objectives: To determine the frequency of extra-dural hematoma in patients with head injury.
Patients and Methods: This cross sectional descriptive study was done in neurosurgery department of Hayat-abad Medical Complex, Peshawar, from 2nd February 2012 to 1st September 2012. All patients of head injury, from all ages and both genders were included. Patients in whom EDH caused by bleeding disorders or vascular malformations of the dura mater and post surgical EDHs were excluded from the study. CT scan brain was done for all patients to confirm their diagnosis. The information regarding patient demographical details, clinical presentation and site and size of hematoma was documented in patient’s Performa. The data was analyzed by SPSS version 17.
Results: A total of 281 patients with head injuries were included in the study. Out of 281 patients, there were 191 (67.9%) males and 90 (32.02%) females. The mean age was 27 years. Majority of patients 81 (28.8%) were in the age range of 21 – 30 years. EDH was found in 31 (11.03%) patients. Eleven patients (3.91%) had their hemato-mas in temporal region. Temporo-parietal region was involved in 9 (3.2%) patients. Frontal and parietal region was affected in 5 patients (1.78%) each. One patient had extra-dural hematoma in posterior cranial fossa.
Conclusion: Extra-dural haematoma is fond in 11% of head injury cases. It is more contain in males as com-pared to females. It is most common in 20 – 40 years of age, temporal and parallel cases are most frequently in-volved regions. The mortality in head injury patients can be reduced if extra-dural hematoma diagnosis and operation done early.

References

1. Araujo JL, Aguiar Udo P, Todeschini AB, Saade N, Veiga JC. Epidemiological analysis of 210 cases of sur-gically treated traumatic extra-dural hematoma. Rev Col Bras Cir 2012; 39: 268-71.
2. Jung SW, Kim DW. Our experience with surgically tre-ated epidural hematomas in children. J Korean Neuro-surg Soc 2012; 51: 215-8.
3. Mayr R, Troyer S, Kastenberger T, Krappinger D, Ro-senberger R, Obwegeser A, El Attal R. The impact of coagulopathy on the outcome of traumatic epidural hematoma. Arch Orthop Trauma Surg 2012; 132: 1445-50.
4. Klemenc – Ketis Z, Bacovnik-Jansa U, Ogorevc M, Kersnik J. Outcome predictors of Glasgow Outcome Scale score in patients with severe traumatic brain in-jury. Ulus Travma Acil Cerrahi Derg 2011; 17: 509-15.
5. Mishra SS, Senapati SB, Deo RC. Traumatic bilateral frontal extra-dural hematomas with coronal suture dia-stases. Neurol India 2011; 59: 940-2.
6. Lau D, El-Sayed AM, Ziewacz JE, Jayachandran P, Huq FS, Zamora – Berridi GJ, Davis MC, Sullivan SE. Postoperative outcomes following closed head injury and craniotomy for evacuation of hematoma in patients older than 80 years. J Neurosurg 2012; 116: 234-45.
7. Kiboi JG, Kitunguu PK, Angwenyi P, Mbuthia F, Sagi-na LS. Predictors of functional recovery in African pati-ents with traumatic intracranial hematomas.World Neu-rosurg 2011; 75: 586-91.8. Irie F, Le Brocque R, Kenardy J, Bellamy N, Tetsworth K, Pollard C. Epidemiology of traumatic epidural hem-atoma in young age. J Trauma 2011; 71: 847-53.
9. Paiva WS, Andrade AF, Mathias Júnior L, Guirado VM, Amorim RL, Magrini NN, Teixeira MJ. Manage-ment of supratentorial epidural hematoma in children: report on 49 patients. Arq Neuropsiquiatr 2010; 68: 888-92.
10. Cheung PS, Lam JM, Yeung JH, Graham CA, Rainer TH.Outcome of traumatic extra-dural haematoma in Hong Kong. Injury 2007; 38: 76-80.
11. Wu JJ, Hsu CC, Liao SY, Wong YK. Surgical outcome of traumatic intracranial hematoma at a regional hos-pital in Taiwan. J Trauma1999; 47: 39-43.
12. Gerlach R, Dittrich S, Schneider W, Ackermann H, Sei-fert V, Kieslich M. Traumatic epidural hematomas in children and adolescents: outcome analysis in 39 con-secutive unselected cases. Pediatr Emerg Care. 2009; 25: 164-9.
13. Khan MJ, Shaukat A, Khalid M, Aziz MA. Surgical management and outcome analysis of extra-dural hem-atoma at Combined Military Hospital Rawalpindi. PA-FMJ 2009; 59: 70-3.
14. Borovich B, Braun J, Guilburd JN, Zaaroor M, Michich M, Levy L, and et al. Delayed onset of traumatic extra-dural hematoma. J Neurosurg 1985; 63: 30-4.
15. Khaled CN, Raihan MZ, Chowdhury FH, Ashadullah ATM, Sarkar MH, Hossain SS. Surgical management of traumatic extra-dural haematoma: Experiences with 610 patients and prospective analysis. Ind J Neurotra-uma 2008: 75–79.
16. Ozkan U, Kemaloglu S, Ozate? M, Guzel A Analyzing Extra-dural Haematomas: A Retrospective Clinical In-vestigation. Dicle T?p Dergisi 2007; 34: 14-19.
17. Mushtaq, Azam F, Rehman RU, Khattak A, Alam W, Anayatullah. Surgical management and outcome of depressed skull fracture. Pak J Neurol Surg. 2010; 14: 30-34.

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Published

2018-10-09

Issue

Vol. 16 No. 2 (2012): July-December

Section

Original Articles

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The work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).