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Vol. 3 No. 4 (2023)

Surgical Management of Acute Extradural Hematoma in Bauchi Nigeria: Challenges and Outcomes

Clinical Medicine And Health Research Journal, Vol. 3 No. 4 (2023), 7 July 2023 , Page 460-463
https://doi.org/10.18535/cmhrj.v3i4.196

Abstract

Introduction: Acute extradural hematoma (EDH) is a neurosurgical emergency and can be life threatening in many occasions. It is defined as a collection of blood within the dura matter and inner table of the skull. We aimed to study the incidence and outcomes of acute EDH managed in our facility


Materials and Methods: Ninety seven consecutive patients managed surgically for acute extradural hematoma (EDH) within 4 years. Demographic data, time of presentation, GCS score and Glasgow outcome score (extended) were analyzed.


Results: Acute EDH has yearly occurrence of 24.3 per year. Out of 97 cases 89 % were male and 11% were female. The male and female ratio was 7.8: 1. Commonest age group was 21 to 30 years. Commonest mode of injury was Road traffic Accident 59.8%, followed by Assaults. Most common clinical presentation was headache (74.2%) followed by altered consciousness (38%). In this study of 97 cases of EDH, frontal site was involved in 26% followed by parieto-temporal region in 22%. 90% of the patients had favorable outcome while the mortality rate was 3.1%.


Conclusion: Acute Extradural hematoma is a neurosurgical emergency where the admitting GCS score and early surgical intervention is associated with favorable outcome. Legislation and optimal social amenities will reduce the incidence of traumatic brain injury and improve the surgical outcome of acute EDH..

How to Cite

O. Ogunleye, O. ., B. Ogunleye, O. ., M. Muhammed, M. ., & M. Muhammad, A. . (2023). Surgical Management of Acute Extradural Hematoma in Bauchi Nigeria: Challenges and Outcomes. Clinical Medicine And Health Research Journal, 3(4), 460–463. https://doi.org/10.18535/cmhrj.v3i4.196

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References

  • Basavaraj, KG, Venkatesh, HK, Rao GSU. A prospective study of demography and outcome in operated head injuries. Ind J Anaesth 2005; 49:24-30.
  • SBullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW et al.: Surgical Management of acute epidural haematomas. Neurosurgery 2006; vol. 58:(Supplement) 52-7.
  • Mohanty A, Kolluri VR, Subbakrishna DK, Satish S, Chandramouli BA, Das BS. Prognosis of extradural haematomas in children. Pediatr Neurosurg 1995; 23:57-63.
  • Carlos UP, Joas DB, Carneiro L, et al. Extradural haematoma: Analysis of 30 cases. The Internet Journal of Emergency Medicine 2005; Vol 2 (2).
  • Van den Brink WA, Zwienenberg M. Zandee SM, vander meer L, Maas AL, Avezaat CJ. The prognostic importance of the volume of traumatic epidural and subdural haematomas revisited. Acta Neurochir (Wien) 1999;141:509-14.
  • Mishra A, Mohanty S. Contre-coup extradural haematoma: A short report. Neurol India 2001;49:94-5.
  • Lobato RD, Alen JF, Perez-Nunez A, Alday R, Gomez PA, Pascual B, et al. Value of serial CT scanning and intracranial pressure monitoring for detecting new intracranial mass effect in severe head injury patients showing lesions type I-II in the initial CT scan. Neurocirugia (Astur) 2005;16:217-34.
  • Jamjoom A. The influence of concomitant intradural pathology on the presentation and outcome of patients with acute traumatic extradural haematoma. Acta Neurochir (Wien) 1992;115:86-9.
  • Korinth M, Weinzieri M, Gilsbach JM. Treatment options in traumatic extradural haematomas. Unfallchirurg 2002;105:224- 30.
  • Emejulu JK, Shokunbi MT, Malomo AO. Determinants of outcome in operative treatment of traumatic extradural haematoma. West Afr J Med 2008;27:32-6.
  • Rehman L, Khattak A, Naseer A, Mushtaq. Outcome of acute traumatic extradural hematoma. J Coll Physicians Surg Pak 2008;18:759-62.
  • Hooper R. Observation on extradural haemorrhage. Br J Surg 1959;47:71-87.
  • Mezue WC, Ndubisi CA, Chikani MC, Achebe DS, Ohaegbulam SC: Traumatic extradural haematoma in Enugu, Nigeria. Niger J Surg 18:80-84, 2012.
  • Cheung PS, Lam JM, Yeung JH, Graham CA, Rainer TH. Outcome of traumatic extradural haematoma in Hong Kong. Injury 2007;38:76-80.
  • Offner P, Pham B, Hawkes A: Non-operative management of acute epidural haematomas: A “no-brainer”. Am J Surg 192:801-805, 2006.
  • Emejulu JKC, Uche EO, Nwankwo EU. The Challenges of Managing Acute Extradural Hematoma in a Nigerian Neurosurgical Center—Still a Long Way to Go. World Neurosurg. (2014) 82, 6:969-973. http://dx.doi.org/10.1016/j.wneu.2014.09.002
  • Royal College of Surgeons of England Trauma Committee. The Royal College of Surgeons of England: A Position Paper on the Acute Management of Patients with Head Injury. Ann R Coll Surg Engl 2005;87:323-5.
  • Wells RG, Velter C, Laud P: Intracranial hemorrhage in children younger than 3 years: prediction of infants. Arch Pediatr Adolesc Med 156:252, 2002.
  • Babu ML , Bhasin, SK, Kumar A. Extradural Haematoma-an experience of 300 cases. JK Science 2005; 7:205-7.
  • Dharkar SR. Bhargav N. Bilateral Epidural haematoma. Acta Neurochir 1991; 110:29-32.
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