Open AccessTHE PREVALENCE AND CLINICAL PROFILE OF PATIENTS PRESENTED WITH POSTERIOR FOSSA EXTRA DURAL HEMATOMA IN TERTIARY CARE HOSPITAL: A RETROSPECTIVE OBSERVATIONAL STUDY.
Author(s) -
Deepak Karn
Publication year - 2020
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v4i5.1378
Subject(s) - glasgow coma scale , medicine , hematoma , retrospective cohort study , neurosurgery , surgery , observational study , glasgow outcome scale
Aim: to determine the prevalence and clinical profile of patients presented with posterior fossa extra dural hematoma.
Materials and Methods: The present retrospective observational study was conducted in the Department of Neurosurgery, SKMCH, Muzaffarpur, Bihar, India. The records were retrospectively analyzed for clinical presentation, admission Glasgow Coma Scale (GCS), mode of injury, type of intervention and postoperative outcome. Outcomes were assessed on the basis of Glasgow Outcome Score (GOS) at the time of discharge and at 3 months
Results: Of these 39 patients, 28 were males and 11 females. The mean age of patients was 29.21 years. 24 patients had GCS 13-15 at admission followed by 9 with GCS 9-12 and only 5 of them had GCS <9 at admission. Mean EDH volume was 28.7 ml. 36 patients were operated, 5 patients managed conservatively.
Conclusion: The posterior fossa is an uncommon site for epidural haematomas. Due to the small volume of the posterior fossa and contained important structures mortality can be high if the haematoma is missed. Clinical progress is silent and slow, but the deterioration is sudden and quick to become fatal if not promptly treated. Early recognition is extremely important.
Keywords: Extradural hematoma, Posteriors fossa, GCS, Trauma