Posterior fossa extradural hematoma - clinical presentation and outcome
Background: Posterior Fossa Extra Dural Hematoma (PFEDH) is a rare entity but certain crucial structures are supposed to be injured. Because of limited space in the posterior fossa, a clinical small volume of hematoma can deteriorate patients. Therefore timely diagnosis and prompt intervention are...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2022-06-01
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| Series: | Romanian Neurosurgery |
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| Online Access: | https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2296 |
| _version_ | 1828295993214369792 |
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| author | Yadav Kaushal Lodha Krishna Govind Jaiswal Gaurav Gupta Tarun Kumar Patel Pratik Bipinbhai Kumawat Suresh |
| author_facet | Yadav Kaushal Lodha Krishna Govind Jaiswal Gaurav Gupta Tarun Kumar Patel Pratik Bipinbhai Kumawat Suresh |
| author_sort | Yadav Kaushal |
| collection | DOAJ |
| description |
Background: Posterior Fossa Extra Dural Hematoma (PFEDH) is a rare entity but certain crucial structures are supposed to be injured. Because of limited space in the posterior fossa, a clinical small volume of hematoma can deteriorate patients. Therefore timely diagnosis and prompt intervention are required.
Objective: This study is done to analyse factors like demographic profile, mode of injury, clinical features in relation to PFEDH and its management and how they influence the outcome.
Materials & methods: This is a retrospective analysis of patients who presented with PFEDH from July 2016 to July 2021 at RNT Medical College and M.B. group of Hospitals Udaipur, India. Patients were evaluated on the basis of demographic profile, mode of injuries, GCS on admission & discharge, and associated radiological findings.
Result: A total of 25 patients with PFEDH were included in this study. Amongst these, 18 (72%) were males, and10 (40%) were less than 18 years of age. On admission 19 (76%) had GCS 13-15.22 (88%) patients underwent surgery and 3 (12%) were planned for conservative management. At 6-month follow-up, 22 (88%) patients had good outcomes with GOS 3-5 and 1 was lost to follow up while 2 (8%) had poor outcomes with GOS 1-2.
Conclusion: GCS on admission is a good predictor of outcome. The volume of EDH was one of the key factors in deciding the line of management. PFEDH can sometimes be rapidly fatal due to expansion of hematoma and compression of posterior cranial fossa space which leads to brain stem compression therefore time management is the most important factor for a good outcome.
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| first_indexed | 2024-04-13T12:04:37Z |
| format | Article |
| id | doaj.art-1f096974d09f4fdaa096a851e34c1dd1 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-04-13T12:04:37Z |
| publishDate | 2022-06-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-1f096974d09f4fdaa096a851e34c1dd12022-12-22T02:47:40ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592022-06-01362Posterior fossa extradural hematoma - clinical presentation and outcomeYadav KaushalLodha Krishna GovindJaiswal GauravGupta Tarun KumarPatel Pratik BipinbhaiKumawat Suresh Background: Posterior Fossa Extra Dural Hematoma (PFEDH) is a rare entity but certain crucial structures are supposed to be injured. Because of limited space in the posterior fossa, a clinical small volume of hematoma can deteriorate patients. Therefore timely diagnosis and prompt intervention are required. Objective: This study is done to analyse factors like demographic profile, mode of injury, clinical features in relation to PFEDH and its management and how they influence the outcome. Materials & methods: This is a retrospective analysis of patients who presented with PFEDH from July 2016 to July 2021 at RNT Medical College and M.B. group of Hospitals Udaipur, India. Patients were evaluated on the basis of demographic profile, mode of injuries, GCS on admission & discharge, and associated radiological findings. Result: A total of 25 patients with PFEDH were included in this study. Amongst these, 18 (72%) were males, and10 (40%) were less than 18 years of age. On admission 19 (76%) had GCS 13-15.22 (88%) patients underwent surgery and 3 (12%) were planned for conservative management. At 6-month follow-up, 22 (88%) patients had good outcomes with GOS 3-5 and 1 was lost to follow up while 2 (8%) had poor outcomes with GOS 1-2. Conclusion: GCS on admission is a good predictor of outcome. The volume of EDH was one of the key factors in deciding the line of management. PFEDH can sometimes be rapidly fatal due to expansion of hematoma and compression of posterior cranial fossa space which leads to brain stem compression therefore time management is the most important factor for a good outcome. https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2296posterior fossaextradural hematomaEDH |
| spellingShingle | Yadav Kaushal Lodha Krishna Govind Jaiswal Gaurav Gupta Tarun Kumar Patel Pratik Bipinbhai Kumawat Suresh Posterior fossa extradural hematoma - clinical presentation and outcome Romanian Neurosurgery posterior fossa extradural hematoma EDH |
| title | Posterior fossa extradural hematoma - clinical presentation and outcome |
| title_full | Posterior fossa extradural hematoma - clinical presentation and outcome |
| title_fullStr | Posterior fossa extradural hematoma - clinical presentation and outcome |
| title_full_unstemmed | Posterior fossa extradural hematoma - clinical presentation and outcome |
| title_short | Posterior fossa extradural hematoma - clinical presentation and outcome |
| title_sort | posterior fossa extradural hematoma clinical presentation and outcome |
| topic | posterior fossa extradural hematoma EDH |
| url | https://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2296 |
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