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• W3199518186 abstract "Introduction: Epidural hematoma (EDH) is characterized by theacute onset of traumatic haemorrhage into potential space between the duramater and skull following head injury. About 85% of the epidural cases arecaused by skull fracture with rupture of the middle meningeal artery or itsbranches and rest of 1the time ruptured venous sinuses, fractured diploic bone.The BTF recommends that all patients with an EDH volume of greater than 30 ccshould undergo surgical evacuation regardless of Glasgow Coma Scale (GCS). Aimof the Study: To assess the surgical outcome of extradural hematomapatients by using Glasgow Outcome Scale (GOS) postoperatively. Material& Methods: This prospective study was conducted in the Department ofNeurosurgery, Dhaka Medical College and Hospital (DMCH), during the period ofJanuary 2016 to December 2017. A total of 98 patients of both sex and any agewith EDH were selected purposively. Statistical analyses were carried out byusing the Statistical Package for Social Sciences version 22.0 for Windows(SPSS Inc., IBM and New York, USA). Prior to commencement of this study, the“Research Review Committee” & the “Ethical Committee” of DMCH, Dhaka,approved the research protocol. Results: In this study, 98 patients wereincluded; they were divided into 6 groups. Age range was 04 - 55years. It was observed that majority, 30 (30.60%) patients were from 21 - 30years of age. The mean age was found 25.24 ± 12.2 years. Other age relateddistributions were shown in the table. Male patients were 78 (78.55%) and 22(22.44%) patients were female. A male predominance was observed. Amongadmitting GCS 3-8, 56.25% patients had unfavorable outcome and 43.25% hadfavorable outcome. Admitting GCS 9-13, 2.5% patients had unfavorable outcome and97.5% had favorable outcome. Admitting GCS 14-15, all patients (100.0%) hadfavorable outcome. Unfavorable outcome was observed in 9 (9.18%),1 (1.00%) patients who belong 3-8, 9-13 GCS onadmission. Mean GCS on admission was found 6.7 ± 2.44score in unfavorable outcome group and 13.45 ± 2.30score in favorable outcome group. Conclusion: This study revealed goodsurgical outcome in extradural hematoma patients. Preoperative GCS is animportant predictor of outcome. Other preoperative neurological statuses likepupillary changes, neurological focal deficit, cranial nerve involvement, plantarreflexes and seizure also influence the surgical outcome." @default.
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• W3199518186 date "2021-01-01" @default.
• W3199518186 modified "2023-10-18" @default.
• W3199518186 title "Surgical Outcome of Extradural Hematoma Patients in Relation to Preoperative Neurological Status" @default.
• W3199518186 doi "https://doi.org/10.4236/ojmn.2021.114026" @default.
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