TITLE:
Outcomes of Evacuation Extradural Hematoma via Craniotomy under Local Anesthesia
AUTHORS:
Moazzam Waheed Sheikh, Ifrah Shahnawaz, Muhammad Abdullah, Omer Kamal, Rabia Naheed, Aisha Bushra, Muhammad Nadeem
KEYWORDS:
Evacuation, Extradural Hematoma, Mortality, Consciousness, Unfavorable Outcomes
JOURNAL NAME:
Neuroscience and Medicine,
Vol.8 No.3,
September
28,
2017
ABSTRACT: Background: The EDH occurs due to the accumulation of bleeding between
the inner table of the skull and the outer layer of the dura mater. It is said to
account for 1% - 3% of all head injured patients and 9% of those who are
comatose. The only life-saving treatment of choice is evacuation of EDH via
craniotomy. Methods: This was a prospective observational study, where 40
patients were in follow-up for determining the outcomes of evacuation via
craniotomy. Results: Majority of the patients were young and males. The
main outcome of the evacuation was favorable (recovered), but certain unfavorable
outcomes were also accounted like mortality. Conclusion: The pre-surgery
clinical findings like consciousness of patient were an important indicator for
EDH evacuation outcome. In most of the cases, the outcome was favorable
with progressive recovery.