Surgical management and outcome analysis of extradural hematoma at combined military hospital Rawalpindi

ABSTRACT

The aim of this study is to see the frequency of extradural hematomas [EDH] at neurosurgical centre CMH Rawalpindi. Descriptive study. Department of Neurosurgery CMH Rawalpindi over a period of 2 years [Jan 2001 to Jan 2003]. All patients with head injury reporting to trauma center CMH Rawalpindi from 2001 to 2003 were reviewed. Using non-probability convenient sampling, patients with closed head trauma were included in the study. A total of 1215 patients were reviewed during the study period. Maximum patients were under 12 years of age. Extradural haematoma was found in 23 [2%] patients. Out of 23 patients, 18 [78%] were males and 5 [22%] were females, the male to female ratio was 3.51. Alteration of consciousness was the most common presentation [61%]. Location of EDH was temporoparietal in majority of patients. Bilateral EDH was found in 1 patient only. At 6 months follow up, good recovery was observed in 15 [65%] patients. Level of consciousness at the time of surgery is the single most important decisive factor in the outcome hence early diagnosis and surgical intervention is essential