Conservative Treatment of Mildly Symptomatic Large Extradural Hematomas in The Pediatric Age Group: A Report of 20 Cases

Authors : Rıfat AKDAĞ, Uğur SOYLU

Pages : 98-104

Doi:10.54996/anatolianjem.1112749

View : 45 | Download : 20

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Aim: Conservative treatment is a safe alternative to surgical treatment in patients with asymptomatic or mildly symptomatic extradural hematoma seen in the pediatric age group. There is still a debate about patient selection criterias. This study highlights the radiological and clinical features of pediatric large EDH patients treated without surgery. Material and Methods: In this retrospective-cohort study, we present a review of the data of 20 pediatric EDH patients treated in Health Sciences University, Bursa Yüksek Ihtisas Training and Research Hospital between 2015 and 2020. This study; includes patients with Glasgow Coma Scale insert ignore into journalissuearticles values(GCS); 14+ and diagnosed EDH thickness ≥ 15mm in computed tomography insert ignore into journalissuearticles values(CT);, treatment protocol and outcomes. Results: Of the 206 patients diagnosed with EDH, 131 insert ignore into journalissuearticles values(63,5 %); had an initial GCS ≥ 14. Furthermore, 23 insert ignore into journalissuearticles values(11,1 %); patients had EDH thickness ≥ 15 mm. 3 patients were excluded from study because of emergent surgery. The number of patients included in the study was 20 and all patients had a GOS score of 5 on at least one -year follow-up. Conclusion: According to our results, conservative treatment is an optimal alternative to surgical treatment in pediatric large EDH patients. However, patient selection and clinical features are very important.
Keywords : Epidural hematom, konservatif tedavi, kafa travması, çocuk hasta, travmatik beyin hasarı