Clinical profile of traumatic Extradural Dural Hematoma

Vhora SS; Sangle RP; Barhate MV; Gandoke C; Pardasani MM; PandayR; Vhora PS

Clinical profile of traumatic Extradural Dural Hematoma

Authors
Vhora SS, Sangle RP, Barhate MV, Gandoke C, Pardasani MM, PandayR, Vhora PS

Abstract
Introduction: Traumatic brain injury occurs when an external mechanical force causes brain dysfunction. Extradural hematoma (EDH) is a collection of blood in the potential space between the dura and the bone. Traumatic EDH is treatable Neurosurgical Emergency with good rewards.

Material & Methods: We studied 50 head injury patients admitted in general surgery wards of Tertiary care teaching hospital over a period of 2 years. All these patients were diagnosed to have Extradural Hematoma (EDH) with surgery as the primary line of management.rnThe study design was prospective non randomized trial.

Observation: Commonest age group involved was 21 to 30 yrs 82.0% were male (n = 41) while 18.0% were female (n = 9).rnCommonest mode of injury was road traffic accident (RTA) (n= 28, 56.0).In this study of 50 patients of traumatic EDH, we found that tempero-parietal site was involved in 34.0% (n = 17) of the patientsrnIn our study of 50 patients of traumatic extradural hematoma, 64.0% (n = 32) of the patients were operated within 12 hrs of incident/accident. While 10.0% (n = 5) of the patients were operated after 24 hrs. Traumatic extradural hematoma who underwent surgery for the same, 12.0% (n = 6) of the patients died while 88.0% (n = 44) of the patients were discharged from the hospital.

Conclusion: Traumatic extradural hematoma is a well-recognized and most rewarding neurosurgical emergency. It must be recognized and evacuated early to prevent potential mortality and morbidity.

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