The aim of this study is to assess the clinical and radiological characteristics of children with traumatic extradural hematoma and factors affecting the initial neurological status and outcome.
Extradural hematoma (EDH) represents 2.7-4% of traumatic brain injury .EDH is a potentially lethal condition which is easily cured if diagnosed early .EDH is less frequent in pediatric age group than in adults. The mean age of pediatric patients harboring EDH is between 6 and 10 years and it is rare among infants under the age of 12 months. EDH in children differs significantly from adults in terms of mode of injury, prognostic factors, and outcome. EDH in children may follow a trivial trauma and the course is more insidious and associated skull fractures is less frequent and these factors make it difficult to diagnose and often challenging to manage. The reported rate of mortality from EDH in children is varying from 0% and 17%, The criteria for choosing the surgical evacuation Vs. conservative management in pediatric age group still ill-defined this is what encouraged the investigators to carry this study to present our experience in the management of EDH in children aged less than 18 years.
Study Type
OBSERVATIONAL
Enrollment
111
evacuation of extradural hematoma by craniotomy
glascow outcome scale
The Glasgow Outcome Scale (GOS) categorizes the outcomes of patients after traumatic brain injury, as follows 1. Persistent vegetative state: Minimal responsiveness 2. Severe disability: Conscious but disabled; dependent on others for daily support 3. Moderate disability: Disabled but independent; can work in sheltered setting 4. Good recovery: Resumption of normal life despite minor deficits
Time frame: immediately after the intervention/procedure/surgery
mortality
patients who died after surgery
Time frame: immediately after the intervention/procedure/surgery, through study completion, an average of 1 year
morbidity
patients with disability after surgery
Time frame: immediately after the intervention/procedure/surgery, through study completion, an average of 1 year
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