International Journal of Medical and All Body Health Research  |  e-ISSN: 2582-8940  |  Double-Blind Peer Review  |  Open Access  |  CC BY-NC-SA 4.0

Current Issues
     2026:7/4

International Journal of Medical and All Body Health Research

e-ISSN: 2582-8940 | Open Access

Extra dural hematoma: Analysis of outcome

Dr. Mukesh Patel, Dr. Himanshu Raval

Professor and Head of Department, Department of Neurosurgery, NHL Municipal Medical College and SVP hospital, Elisbridge, Ahmedabad, Gujarat, India; Department of Neurosurgery, NHL Municipal Medical College, SVP hospital campus, Elisbridge, Ahmedabad, Gujarat, India

Article Information

Volume / Issue2 / 2 (April-June 2021)
Pages25-29
AccessOpen Access

Publication Timeline

  • Received27 May 2021
  • Accepted15 June 2021

Full Text (PDF)

Open Access - Free to Download

Download Full Article (PDF) JATS XML

Abstract

Outcome of patient with EDH relays on variables like GCS at first presentation, hematoma size/volume, age of patient, etc. This study was carried out to find out correlation between outcome and various factors affecting it. Aim and objectives of this study were to study outcome of patients with EDH. This study was carried out in SVP hospital, Ahmedabad including 70 patients.30 patients were operated. On admission, majority of patients had GCS of >8 on presentation. Assessment was done at time of discharge and on monthly basis. At 3rd month, 52 patients had GOS 5, 4 patient had GOS 4, 2 patients had GOS 3 and 1 patient died. Out of 52 patients having GOS 5, 12 patient had GCS 13-15 at time of admission, 40 had GCS 9-12 at time of admission. Out of 4 patients having GOS 4, 3 patient had GCS 9-12 at time of admission and 1 patient had GCS 3-8 at time of admission.2 patient having GOS 3, both had GCS 3-8 at time of admission.45 patients had EDH volume <30 ml and all patients had GOS 5. 13 patients had EDH volume ≥30 ml, among them, 7 patients had GOS 5, 4 patients had GOS 4 and 2 patient had GOS 3.Total 7 patient had died all had EDH volume ≥30 ml.GOS in EDH patient is affected by GCS and EDH volume at presentation. RTA is most common cause of EDH. Lower GCS and larger EDH volume have poor outcome.

Keywords

Extra Dural HematomaEDHGCSGOSOutcome

References

  1. Williams N, O'Connell PR. Bailey and love’s short practice of surgery. 25th edition. CRC Press, 2008, 299. [Google Scholar][Crossref]
  2. Michael C. Huang. Surgical Management of Traumatic Brain Injury. Youmans & Winn Neurological Surgery. Seventh edition. Elsevier. 2017; 351:2912-2913. [Google Scholar][Crossref]
  3. Mahapatra AK, Vaidya VK. Extradural hematoma. Rajkumar Ramamurthi and Tandon’s Manual of Neurosurgery. Jaypee Brothers Medical Publishers. 2014; 34:274-276. [Google Scholar][Crossref]
  4. Sankar SK, Mahadevan A. Pathology. Ramamurthi and Tandon’s Manual of Neurosurgery. Jaypee Brothers Medical Publishers. 2014; 24:198. [Google Scholar][Crossref]
  5. Halpern CH, Grady MS. Schwartz’s principles of Surgery. 10th edition. McGraw Hill Education. 2014; 42:1719. International Journal of Medical and all body Health Research www.allmedicaljournal.com 29 [Google Scholar][Crossref]
  6. Phoebe Cheung PS, Lam JM, Yeung JH, Graham CA, Rainer TH. Outcome of traumatic extradural haematoma in Hong Kong. Injury. 2007; 38(1):76-80. [Google Scholar][Crossref]
  7. Rehman L, Khaleeq S, Zaman KU. Association of outcome of traumatic EDH and Glasgow Coma Scale and hematoma size. Ann Pak Inst Med Sci. 2010; 6(3):133-8 [Google Scholar][Crossref]
  8. Islam MJ Saha SK, Elahy MF, Islam KMT, Ahamed SU. Factors influencing the outcome of patients with acute extradural hematomas undergoing surgery. Bangladesh J Med Sci. 2011; 10:112-20. [Google Scholar][Crossref]
  9. Prajapati DV, Shah NJ. Outcome of traumatic Extradural Hematoma (EDH) using Glasgow Outcome Scale (GOS). Int Surg J. 2018; 5:3327-34. [Google Scholar][Crossref]
  10. Rivas JJ, Lobato RD, Sarabia R, Cordobes F. Extradural hematoma: analysis of factors influencing the courses of 161 patients. Neurosurg. 1988; 23(1):44 -51. [Google Scholar][Crossref]
  11. Lobato RD, Rivas JJ, Cordobes F, Alted E, Perez C, Sarabia R, et al. Acute epidural hematoma: An analysis of factors influencing the outcome of patients undergoing surgery in coma. J Neurosurg. 1988; 68:48-57. [Google Scholar][Crossref]
  12. Lee EJ, Hung YC, Wang LC, Chung KC, Chen HH. Factors influencing the functional outcome of patients with acute epidural hematomas. J Trauma. 1998; 45(5):946-52. [Google Scholar][Crossref]
  13. Servadei F, Faccani G, Rocella P. Asymptomatic extradural haematomas. Results of a multicentre study of 158 cases in minor head injury. Acta Neurochir Wien. 1989; 96: 39-45. [Google Scholar][Crossref]

How to Cite

Patel, M., & Raval, H. (2021). Extra dural hematoma: Analysis of outcome. International Journal of Medical and All Body Health Research, 2(2), 25-29.

Patel, Mukesh, and Himanshu Raval. "Extra dural hematoma: Analysis of outcome." International Journal of Medical and All Body Health Research, vol. 2, no. 2, 2021, pp. 25-29.

Patel, M. and Raval, H. (2021) 'Extra dural hematoma: Analysis of outcome', International Journal of Medical and All Body Health Research, 2(2), pp. 25-29.

Patel M, Raval H. Extra dural hematoma: Analysis of outcome. International Journal of Medical and All Body Health Research. 2021;2(2):25-29.

Similar Articles

Share

Find this Article on

Google Scholar Semantic Scholar OpenAlex ResearchGate BASE

A newly published article may take a few days to appear on these services.