Acute Extradural Hematoma in Pediatric Age Group: Factors Affecting The Outcome
Keywords:
Epidural hematoma, Traumatic brain injury, Craniectomy; craniotomyAbstract
Objective: To identify the factors affecting the outcome of acute extradural haematoma in pediatric age group.
Subjects and Methods: This was a descriptive study carried out at the Department of neurosurgery, PGMI Lady Reading Hospital Peshawar from January 2007 to December 2007 on 50 consecutive patients of acute extradural hematoma operated and post-operative outcome including good recovery, moderate disability, severe disability, persistent vegetative state, and death recorded.
Results: Out of 50 cases, 80% were males and 20% females. Majority (48%) cases were in the age range of 6-10 years, 36% in age group of 11-15 years, 16% in the age range of 1-5 years. In 60% patients fall, in 26% road traffic accident (RTA) and in 14% physical assault was the mode of injury. Interval between injury and surgery of > 8 hours recorded in 78% cases, 4-8 hours in 20% patients, < 4 hour in 2% cases. On CT scan, parietal site was commonest in 40% cases, frontal site in 26% cases. In 80% cases craniotomy and in 20% cases craniectomy performed. Post-operative outcome, good recovery noted in 80% cases, moderate disability in 10% cases, death in 6% cases, and severe disability recorded in 4% cases.
Conclusion: Extradural hematoma is a common manifestation of head injury, affecting male children age range of 6-10 years and early surgical intervention is life saving.
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