THE PREVALENCE AND CLINICAL PROFILE OF PATIENTS PRESENTED WITH POSTERIOR FOSSA EXTRA DURAL HEMATOMA IN TERTIARY CARE HOSPITAL: A RETROSPECTIVE OBSERVATIONAL STUDY.

Deepak Karn

doi:10.32553/ijmbs.v4i5.1378

Abstract

Aim: to determine the prevalence and clinical profile of patients presented with posterior fossa extra dural hematoma. Materials and Methods: The present retrospective observational study was conducted in the Department of Neurosurgery, SKMCH, Muzaffarpur, Bihar, India. The records were retrospectively analyzed for clinical presentation, admission Glasgow Coma Scale (GCS), mode of injury, type of intervention and postoperative outcome. Outcomes were assessed on the basis of Glasgow Outcome Score (GOS) at the time of discharge and at 3 months Results: Of these 39 patients, 28 were males and 11 females. The mean age of patients was 29.21 years. 24 patients had GCS 13-15 at admission followed by 9 with GCS 9-12 and only 5 of them had GCS <9 at admission. Mean EDH volume was 28.7 ml. 36 patients were operated, 5 patients managed conservatively. Conclusion: The posterior fossa is an uncommon site for epidural haematomas. Due to the small volume of the posterior fossa and contained important structures mortality can be high if the haematoma is missed. Clinical progress is silent and slow, but the deterioration is sudden and quick to become fatal if not promptly treated. Early recognition is extremely important. Keywords: Extradural hematoma, Posteriors fossa, GCS, Trauma

Highlights

Head injury is a dynamic process and leads to a chain of events, which can evolve very rapidly leading to a catastrophic outcome or slowly leading to a prolonged morbid course.Extradural hematoma (EDH) is one such secondary event and EDH of Posterior fossa (PFEDH) in particular can evolve without any warning and a precipitous deterioration leads to death or poor outcome.There have been an increasing number of cases of traumatic posterior fossa extra dural hematoma treated conservatively with good results both in children and in adults
The records were retrospectively analyzed for clinical presentation, admission Glasgow Coma Scale (GCS), mode of injury, type of intervention and postoperative outcome
The posterior fossa is an uncommon site for epidural haematomas

Summary

Introduction

Head injury is a dynamic process and leads to a chain of events, which can evolve very rapidly leading to a catastrophic outcome or slowly leading to a prolonged morbid course.Extradural hematoma (EDH) is one such secondary event and EDH of Posterior fossa (PFEDH) in particular can evolve without any warning and a precipitous deterioration leads to death or poor outcome.There have been an increasing number of cases of traumatic posterior fossa extra dural hematoma treated conservatively with good results both in children and in adults. Head injury is a dynamic process and leads to a chain of events, which can evolve very rapidly leading to a catastrophic outcome or slowly leading to a prolonged morbid course. Extradural hematoma (EDH) is one such secondary event and EDH of Posterior fossa (PFEDH) in particular can evolve without any warning and a precipitous deterioration leads to death or poor outcome. There have been an increasing number of cases of traumatic posterior fossa extra dural hematoma treated conservatively with good results both in children and in adults. The valuable tools of assessment in patient presenting with head injury are skull X-rays and CT scan. The objective of this study was to determine the prevalence and clinical profile of patients presented with posterior fossa extra dural hematoma

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