Open AccessCONSERVATIVE MANAGEMENT OF SIGNIFICANT EXTRA-DURAL HAEMATOMA : CASES AND LITERATURE REVIEW
Author(s) -
Dilraj Kadlas,
Meghna Kinjalk
Publication year - 2019
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/3701403
Subject(s) - medicine , subdural haematoma , surgery , glasgow coma scale , conservative management , craniotomy , head injury , asymptomatic , hematoma , coma (optics) , optics , physics
OBJECTIVE: Study of natural history of significant extra dural haematoma resolution.BACKGROUND: Traumatic brain injury is one of the leading causes of death. There are various modes of injury likeroad traffic accident, assault, fall and others.The traumatic brain injury can range from scalp laceration to intracranialhaemorrhage.The line of management is decided upon considering several factors like age, co morbidities, Glasgowcoma scale neurodeficiency,CT scan findings,other associated injury.CASE REPORT: A 24-year-old gentleman sustained head injury following road traffic accident. CT scan (head) wassuggestive of extradural haematoma.Patient was subjected to decompressive craniotomy and evacuation of extra duralhaematoma. On 2nd post-operative day, CT Scan (head) was done which was suggestive of right frontal and rightposterior parietal extra dural haematoma. The relatives did not give consent for surgery .Conservative managementwas done. Patient improved and haematoma resolved. A 42 year old male presented to the emergency with history ofhead injury . CT Scan was suggestive of extra dural haematoma. Conservative management was done as surgery wasrefused by the relatives.Patient was monitored.Patient was asymptomatic after discharge and during follow up period.CONCLUSION:We report two unusual cases of extradural haematoma with a good outcome and uneventful follow upperiod.