Clinico-radiological correlation with outcome in EDH in paediatric age group -a two year study in a tertiary care hospital

Abstract

Introduction: Aim of the study was to assess the correlation between clinico -radiological features with outcome in traumatic extradural hematoma in paediatric age group at a tertiary care hospital in Kolkata. Materials and Methods: Total of 47 cases of traumatic paediatric extradural hematoma were analysed prospectively for the period of two years to find out the clinic-radiological pattern with outcome in study group patients. Results: Maximum number of patients were between 1-5 years (55.32%) and male patients slightly outnumbered female (55.32% male vs 44.68% female). Loss of consciousness was the most common clinical presentation. Pretreatment GCS score was found to be directly related to the speed of recovery and outcome. Those in whom there were other associated intracranial injuries showed relatively poor recovery. No sex difference was seen in outcome. Location and volume of EDH did not seem to influence the outcome. Conclusion: Traumatic extradural hematoma in children is an uncommon trauma sequel. Most commonly EDH in children is due to fall from height and Road traffic accident. Classical presentation with lucid interval is uncommon and has no direct effect on outcome. Associated intracranial injuries are common and affect outcome. EDH volume itself does not affect the outcome if timely intervention is done. GCS score at presentation is the most important factor determining the outcome. Keywords: Extradural Hematoma (EDH), Paediatric Age Group, Traumatic