Incidence, etiology and location of extradural hematoma in surgically managed patients

Bhavuk Kapoor, Mayank Kapoor, Parul Vaid

Abstract


Background: One of the major public health issues worldwide is traumatic brain injury. EDH is most commonly located in the temporoparietal region. Proper and timely management of these patients improves the outcome.
Aims: To interpret the incidence, etiology and location of EDH in surgically managed patients. 
Settings and Design: Surgically operated EDH patients were epidemiologically analysed as per the age, gender, mechanism of injury, GCS at admission, site of hematoma and associated intracranial injuries.
Materials and Methods: Epidemiological analysis of thirty operated EDH patients was done.
Statistical analysis: Statistical evaluation was done.
Results: EDH was more common (76.67%) among males than females (23.33%). Mostly patients (50%) were in the age group of 21-41 years. Road traffic accident was the most common (50%) mode of trauma leading to EDH occurrence. Temporoparietal EDH was the most common (36.66%) location on CT scan. Most common (70%) associated intracranial injury observed was the skull fractures.
Conclusion: EDH is a serious complication of head injury. Early diagnosis and proper management is required. EDH is more common in men. Careful interpretation of CT scan head is important to get information about the location EDH and other associated injuries before proceeding for surgical evacuation.

Keywords: Extradural haematoma, Incidence, Etiology, EDH location.


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