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Supratentorial extradural hematoma in children: An institutional clinical experience of 65 cases.

Nath PC, Mishra SS, Das S, Deo RC - J Pediatr Neurosci (2015 Apr-Jun)

Bottom Line: Extradural hematoma is a life-threatening entity encountered in pediatric head injury.Timely intervention and diagnosis decrease mortality to a great degree.Most of the mortality is encountered in patients who presented late at the neurosurgical unit with low GCS.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, SCB Medical College, Cuttack, Odisha, India.

ABSTRACT

Aim and objective: To survey the epidemiology, management, and severity of extradural hematoma (EDH) in children.

Materials and methods: All patients of EDH (n = 65) in the age group of 0-16 years admitted to our department during the period of August 13 and July 14 were analyzed retrospectively from the hospital records. In all patients, age, sex, mode of injury, clinical presentation, site of EDH, management, duration of hospitalization, and outcome were evaluated.

Observation and results: Of 65 patients, males were 70.76% with a male to female ratio of 2.4:1, most of the victims (47.69%) were in the age group of 11-16 years. Mean duration of hospitalization was 4.32 days. The most common mode of injury was fall from height in 29 cases (44.61%) followed by road traffic accident (RTA) in 23 cases (35.35%). Temporoparietal EDH was the most common computed tomography finding present in 22 (33.84%) patients. 67.69% patients presented to casualty with minor head injury having Glasgow coma scale (GCS) between 14 and 15. Most common presenting feature was vomiting in 52 cases (80%) and next to it was altered sensorium. The mortality rate was 7.69% (n = 5).

Conclusion: Extradural hematoma is a life-threatening entity encountered in pediatric head injury. Timely intervention and diagnosis decrease mortality to a great degree. Most of the mortality is encountered in patients who presented late at the neurosurgical unit with low GCS.

No MeSH data available.


Related in: MedlinePlus

Presenting features
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Figure 7: Presenting features

Mentions: In our study, it is found that most common presenting symptom was vomiting found in 80% (n = 52) cases, and next to it was altered sensorium found in 70.76% (n = 46). Scalp hematoma found in 22 cases. Gross pallor found in 8 cases. Early posttraumatic seizure was found in only 5 cases. One case had presented with right-sided hemiparesis, and one case had left facial nerve paresis. Pupillary abnormality like bilateral dilated pupil with sluggish reaction to light was found in 2 cases. Unilateral dilated pupil with sluggish reaction to light was found in 3 cases. Bilateral or unilateral constricted pupils were found in 5 cases. Others had bilateral normal size pupil with normal reaction to light [Graph 3].


Supratentorial extradural hematoma in children: An institutional clinical experience of 65 cases.

Nath PC, Mishra SS, Das S, Deo RC - J Pediatr Neurosci (2015 Apr-Jun)

Presenting features
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4489051&req=5

Figure 7: Presenting features
Mentions: In our study, it is found that most common presenting symptom was vomiting found in 80% (n = 52) cases, and next to it was altered sensorium found in 70.76% (n = 46). Scalp hematoma found in 22 cases. Gross pallor found in 8 cases. Early posttraumatic seizure was found in only 5 cases. One case had presented with right-sided hemiparesis, and one case had left facial nerve paresis. Pupillary abnormality like bilateral dilated pupil with sluggish reaction to light was found in 2 cases. Unilateral dilated pupil with sluggish reaction to light was found in 3 cases. Bilateral or unilateral constricted pupils were found in 5 cases. Others had bilateral normal size pupil with normal reaction to light [Graph 3].

Bottom Line: Extradural hematoma is a life-threatening entity encountered in pediatric head injury.Timely intervention and diagnosis decrease mortality to a great degree.Most of the mortality is encountered in patients who presented late at the neurosurgical unit with low GCS.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, SCB Medical College, Cuttack, Odisha, India.

ABSTRACT

Aim and objective: To survey the epidemiology, management, and severity of extradural hematoma (EDH) in children.

Materials and methods: All patients of EDH (n = 65) in the age group of 0-16 years admitted to our department during the period of August 13 and July 14 were analyzed retrospectively from the hospital records. In all patients, age, sex, mode of injury, clinical presentation, site of EDH, management, duration of hospitalization, and outcome were evaluated.

Observation and results: Of 65 patients, males were 70.76% with a male to female ratio of 2.4:1, most of the victims (47.69%) were in the age group of 11-16 years. Mean duration of hospitalization was 4.32 days. The most common mode of injury was fall from height in 29 cases (44.61%) followed by road traffic accident (RTA) in 23 cases (35.35%). Temporoparietal EDH was the most common computed tomography finding present in 22 (33.84%) patients. 67.69% patients presented to casualty with minor head injury having Glasgow coma scale (GCS) between 14 and 15. Most common presenting feature was vomiting in 52 cases (80%) and next to it was altered sensorium. The mortality rate was 7.69% (n = 5).

Conclusion: Extradural hematoma is a life-threatening entity encountered in pediatric head injury. Timely intervention and diagnosis decrease mortality to a great degree. Most of the mortality is encountered in patients who presented late at the neurosurgical unit with low GCS.

No MeSH data available.


Related in: MedlinePlus