Post extradural haematoma evacuation infarcts: Analysis of 19 patients
Over a 6-year period, of 1258 patients were operated for supratentorial extradural haematoma in our institution. Sixty patients died, 19 of these had cerebral infarcts in the postoperative period. This study analyses various parameters of these 19 patients to prognosticate the outcome. Factors such...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2006-12-01
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| Series: | The Indian Journal of Neurotrauma |
| Subjects: | |
| Online Access: | http://www.ijntonline.com/Dec06/abstracts/09.PDF |
| _version_ | 1797426790354911232 |
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| author | B Indira Devi RM Ananthan S Sampath SS Praharaj BA Chandramouli KVR Sastry |
| author_facet | B Indira Devi RM Ananthan S Sampath SS Praharaj BA Chandramouli KVR Sastry |
| author_sort | B Indira Devi |
| collection | DOAJ |
| description | Over a 6-year period, of 1258 patients were operated for supratentorial extradural haematoma in our institution. Sixty patients died, 19 of these had cerebral infarcts in the postoperative period. This study analyses various parameters of these 19 patients to prognosticate the outcome. Factors such as age, gender, pupillary asymmetry, GCS (post resuscitation), infarcts etc are analysed. All patients were operated for supratentorial extradural haematoma. All of them had pre- and post-operative CT scan of head. All patients in this series had GCS less than 8. The average volume of extradural haematoma in this series was 77 ml and most of the haematomas were in the temporoparietal region. The infarcts were in middle cerebral, anterior cerebral, or internal carotid artery territory in 9 patients, 7 had features of infarcts involving more than one vascular territory. In addition, seven patients had posterior cerebral artery infarct. Mean time interval between injury and first scan was five hours, and between injury and second scan was 19 hours. We hypothesise that large extradural clot with the dural dissection could have caused intimal damage leading to infarct. We conclude that along with factors such as admission GCS, associated lesions such as sub-dural haematoma and contusion, cerebral infarcts are an important predictor of grave outcome in extradural haematoma patients. |
| first_indexed | 2024-03-09T08:35:00Z |
| format | Article |
| id | doaj.art-766f5a7f1ed74100b5ddf9964b755879 |
| institution | Directory Open Access Journal |
| issn | 0973-0508 |
| language | English |
| last_indexed | 2024-03-09T08:35:00Z |
| publishDate | 2006-12-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | The Indian Journal of Neurotrauma |
| spelling | doaj.art-766f5a7f1ed74100b5ddf9964b7558792023-12-02T18:25:19ZengThieme Medical and Scientific Publishers Pvt. Ltd.The Indian Journal of Neurotrauma0973-05082006-12-0132113117Post extradural haematoma evacuation infarcts: Analysis of 19 patientsB Indira DeviRM AnanthanS SampathSS PraharajBA ChandramouliKVR SastryOver a 6-year period, of 1258 patients were operated for supratentorial extradural haematoma in our institution. Sixty patients died, 19 of these had cerebral infarcts in the postoperative period. This study analyses various parameters of these 19 patients to prognosticate the outcome. Factors such as age, gender, pupillary asymmetry, GCS (post resuscitation), infarcts etc are analysed. All patients were operated for supratentorial extradural haematoma. All of them had pre- and post-operative CT scan of head. All patients in this series had GCS less than 8. The average volume of extradural haematoma in this series was 77 ml and most of the haematomas were in the temporoparietal region. The infarcts were in middle cerebral, anterior cerebral, or internal carotid artery territory in 9 patients, 7 had features of infarcts involving more than one vascular territory. In addition, seven patients had posterior cerebral artery infarct. Mean time interval between injury and first scan was five hours, and between injury and second scan was 19 hours. We hypothesise that large extradural clot with the dural dissection could have caused intimal damage leading to infarct. We conclude that along with factors such as admission GCS, associated lesions such as sub-dural haematoma and contusion, cerebral infarcts are an important predictor of grave outcome in extradural haematoma patients.http://www.ijntonline.com/Dec06/abstracts/09.PDFcerebral infarctsextradural haematomahead injurymortality |
| spellingShingle | B Indira Devi RM Ananthan S Sampath SS Praharaj BA Chandramouli KVR Sastry Post extradural haematoma evacuation infarcts: Analysis of 19 patients The Indian Journal of Neurotrauma cerebral infarcts extradural haematoma head injury mortality |
| title | Post extradural haematoma evacuation infarcts: Analysis of 19 patients |
| title_full | Post extradural haematoma evacuation infarcts: Analysis of 19 patients |
| title_fullStr | Post extradural haematoma evacuation infarcts: Analysis of 19 patients |
| title_full_unstemmed | Post extradural haematoma evacuation infarcts: Analysis of 19 patients |
| title_short | Post extradural haematoma evacuation infarcts: Analysis of 19 patients |
| title_sort | post extradural haematoma evacuation infarcts analysis of 19 patients |
| topic | cerebral infarcts extradural haematoma head injury mortality |
| url | http://www.ijntonline.com/Dec06/abstracts/09.PDF |
| work_keys_str_mv | AT bindiradevi postextraduralhaematomaevacuationinfarctsanalysisof19patients AT rmananthan postextraduralhaematomaevacuationinfarctsanalysisof19patients AT ssampath postextraduralhaematomaevacuationinfarctsanalysisof19patients AT sspraharaj postextraduralhaematomaevacuationinfarctsanalysisof19patients AT bachandramouli postextraduralhaematomaevacuationinfarctsanalysisof19patients AT kvrsastry postextraduralhaematomaevacuationinfarctsanalysisof19patients |