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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-06
A Study on various Clinical Presentations of Extradural Hemorrhage, Factors affecting Treatment and Early Outcome
K. Jagadeesh Babu, V. Bhaskar
Published: June 30, 2017 | 148 142
DOI: 10.36347/sjams.2017.v05i06.077
Pages: 2478-2482
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Abstract
This study of 100 cases of extradural hemorrhage was performed at Mamata general & superspeciality hospital, Khammam during the period of Oct-2014 to Sep-2015. Road traffic accident was the commonest mode of injury for EDH accounting for 58 %.Male gender was found predominant .Most vulnerable age group for traumatic EDH was between 21-30 years old (28%) . Alcohol influence had a significant correlation in the causation and proved a social evil. About 44% of patients seek and obtained medical attention within six hours of incident. Maximum number (95%) had history of loss of consciousness. The commonest site for EDH was found Frontal (36%) followed by Temporal (21%). Both conservative (47%) and surgical management (53%) are efficient, with a low incidence of complications. Surgical management recommended for patients in coma (GCS score <9) with anisocoria and for those with a hematoma larger than 30 cm3 in size, regardless of the patient’s GCS score. Recovery in 79% cases achieved good as per Glasgow outcome score.