Review of Surgical Management of Supratentorial Extra Dural Haematoma at LGH

Abstract

The Objectives:  To review the surgical management of Supratentorial EDH, at our Department. Study Design:  Retrospective Review. Setting:  Department of Neurosurgery, Lahore General Hospital / PGMI, Lahore. Materials and Methods:  This is a retrospective case series of 1536 patients of Supratentorial EDH who were treated surgically between Jan 2005 and Dec 2009. Patients' medical records were reviewed to define variables associated with outcome at the time of discharge. Variables included in the analysis were time since injury, age, gender, severity of head injury, anatomical site of hematoma on CT scan and outcome at the time of discharge (Glasgow Outcome Scale). Patients harbouring extra-cranial injuries which required operative management by other departments, e.g. laprotomy, thoracotomy, chest intubation and cases having associated brain parenchymal injury requiring intervention, were excluded. Results:  In our study of 1536 patients the mean age was 20.46 years, the minimum age was 5 and maximum 60 years. The age range was 55 years. Out of the total 1536 patients 1068 i.e. 69.5% were male and only 468 i.e. 30.5% were females. Male to female ratio was 2.29 : 1. Patients presenting with Mild Injury was the largest group. 664 out of 1536 (n) i.e. 43.2% were having a score of GCS from 13 – 15. 

Conclusions:  The surgical management of EDH is a rewarding and life saving procedure and young male population seems to be a vulnerable population group.