Treatment results and factor effecting them in acute epidural hematomas

Objective & Hypothesis:Background: The purpose of the study was to establish the prognostic factors and curative criteria of cranial epidural hematoma Metods: This study consisted of traumatic epidural hematoma patients who were opered in seven year period between 1996 to 2003.The patients were evaluted. regarding gender, age, trauma etiology, Glasgow Coma Score (GCS) in admittance, locations of hematomas, intracranial lesion and Glasgow Outcome Score (GOS).

📊

Key Findings & Data:Results: %85.5 of the cases were male and %I4.5 of the cases female; the most frequent cases were between the ages from 21 to 40 (%37.7).%95.7 of the cases were located supra-tentorially.

💡

Conclusion & Impact:Further¬more, ICP is essential to decide on the timing and the method, of treatment for being able to decrease mortality.

🔬Design:Research Article

📍Scope:2003 Verileri

⚙️Variables:Tomografi · x-ışınlı bilgisayarlı · Erişkin

Abstract

Background: The purpose of the study was to establish the prognostic factors and curative criteria of cranial epidural hematoma Metods: This study consisted of traumatic epidural hematoma patients who were opered in seven year period between 1996 to 2003.The patients were evaluted. regarding gender, age, trauma etiology, Glasgow Coma Score (GCS) in admittance, locations of hematomas, intracranial lesion and Glasgow Outcome Score (GOS). Results: %85.5 of the cases were male and %I4.5 of the cases female; the most frequent cases were between the ages from 21 to 40 (%37.7).%95.7 of the cases were located supra-tentorially. The most frequent trauma etiology was traffic accident (%53.6). Mortality rate was %.1O.1 Conclusion: Early surgical treatment is important in epidural hematomas. Surgical management of cranial epidural hematomas require a thorough evolution of cranial computerized tomography and level of consciousness. Further¬more, ICP is essential to decide on the timing and the method, of treatment for being able to decrease mortality.

Özet

Amaç: Travmatik epidural hematomların tedavi kriterleri ve prognostik faktörlerinin saptanması Gereç ve Yöntem: Bu çalışmada, 1996-2003 yılları arasında, travmatik epidural hematom nedeniyle opere edilen 69 hasta, yaş, cinsiyet, travma etiolojisi, başvuru Glaskow koma skoru (GKS), yerleşim yeri, eşlik eden intrakranial lezyonlar ve Glasgow outcome skoru (GOS) yönünden incelenmiştir. Bulgular: Vakaların %85.5'i erkek, %14.5'i kadındı; en sık %37.7 ile 21-40 yaş grubundaydı. Vakalar %95.7'si supratentorial yerleşimli idi. Travma etiolojisinde en sık trafik kazaları yer almaktaydı (% 53.6). Mortalite oranı % 10.1 di. Sonuç: Epidural hematomlarda erken cerrahi önemlidir, endikasyon için bilgisayarlı beyin tomografisi ve bilinç düzeyi birlikte değerlendirilmesinin 'yanı sıra özellikle yoğun bakımda hastaların ICP (Intracranial pressure intra kranial basınç)takibi mortaliteyi düşürmeye yönelik tedavi zamanlaması ve biçimi açısından çok önemlidir.

Keywords

Tomografi x-ışınlı bilgisayarlı Erişkin Ölüm oranı Seyir Geriyedönük çalışma Cerrahi işlemler operatif Yaralar ve yaralanmalar Glasgow koma skalası Hematom epidural kafatası subdural akut Akut hastalık Tomography X-Ray Computed Adult Mortality Prognosis Retrospective Studies Surgical Procedures Operative Wounds and Injuries Glasgow Coma Scale Hematoma Epidural Cranial Subdural Acute Acute Disease

🔖

Cite This Article

KAPTAN, H., AYBERK, G., ÇOBANOĞLU, M., KILIÇARSLAN, M. O., KASIMCAN, M. Ö., ÖZCAN, A. R., YAĞLI, E., ÖZGÜN, R., KILIÇ, C. (2005). Treatment results and factor effecting them in acute epidural hematomas. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 39 - Sayı: 3, 39–43. https://ajindex.com/articles/364122

References (14)

Baykaner K, 'Alp H, Çeviker N, et al. Observation of 95 patients with ex trad unit hematomas and review of literature. Surg Neurol.l988;30:339
Bricolo AP, Pasut LM. Extradural.hematoma; Toward zero.mortalitiy. A prospective study.Neurosurgery. 1984; 14:8-12
Cook RJ, Dorsch NWC, Fearnside MR, et al.Outcome prediction in extradural hematomas. Acta Neuroehir. 1988;95:90-94
Halloran LG, Zfass AM, Gayle Wet al. Prevention of acute gastrointestinal complications after severe head injury:controlled trial of cimetidine prophylaxis. Am J Surg. 1980; 134:44-48
Haselsberger K, Pucher R, Auer LM. Prognosis after acute subdural or epidural hemorrhage. Acta. Neurochir.l988;90:111-116 6. Lobato RD, Rivas JJ, Cordobes F et al.Acute epidural hematoma: An analysis of actors influencing the outcome of patients undergoing surgery in coma.J.Neurosurg.1988;68:48-57
Lobato R, Rivas JJ, Gomez PA et al.Head-injured patients who talk and deteriorate into coma. J Neurosurg.l991;75:256
Nasbaum ES, Wolf AL, Sebring L, Mirvis S.Complete temporal lobectomy for surgical resusication of patients with transtentorial herniation secondary to unilateral hemispheric swelling. Neurosurgery 1991:29:62-66
Phonprasert C, Suwanwela C, Hongsaprabhas C, et al. Extradural hematoma: Analysis of 138 çasçs. J,Trauma 1980;20:69
Reale F, Delfini R, Mencarrini G. Epidural hematomas. J Neurosurg Sci.1984;28:9-15
Reider-Groswasser 1, Frishman E, Razon N. Epidural hematoma:, Computarized tomography parameters in 19 patients. Brain Inj. 1991; 5:17
Rivas JJ, Lobatp RD, SarabiaR et al. Extradural hematoma: Analysis of factors influencing the courses of 161 patients. Neurosurgery. 1988;23:44-51
Sarabia R, Lobato RD,, Rivas JJ: Cerebral hemispheric swelling in severe head injury patients. Acta Neurochir (Wien) [Suppl] 42:40-46;1988 14. Korfali E, Aksoy K. Preservation of craniotomy bone flaps under.the scalp Surg Neurol. 1988 Oct;3()(4):269-72 15. Tybor K, Fortuniak J, Komunski P eds. Supplementation of cranial defects by an autologous bone flap stored in the abdominal wall. Neurol Neurochir Pol. 2005 May-Jun;39(3):220-4
Flannery T, McConnell RS.Cranioplasty: why throw the bone flap out? Br J Neurosurg. 2001 Dec; 15(6):518-20
Seelig JM, Marshall LF, Toutant SM et al.: Traumatic acute epidural hematoma: Unrecognized high lethality in comatose patient. Neurosurgery. 1984; 15: 617-620.