| The expectant treatment of "asymptomatic" supratentorial epidural hematomas. | |
| | |
MedLine Citation:
|
PMID: 8437654 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Seventy-four patients with a traumatic epidural hematoma (EDH) and a Glasgow Coma Scale score of more than 12 received expectant treatment; 14 subsequently underwent surgical evacuation of the EDH. A patient with initial brain computed tomograms (CT) showing an EDH volume of more than 30 ml, a thickness of more than 15 mm, and a midline shift beyond 5 mm tended to require surgery within 3 days of the injury when the brain had exhausted its compensatory mechanism and yielded to the expanding EDH. After the 3-day period, in the absence of neurological symptoms, the presence of the EDH may not be an indication for surgical evacuation or hospitalization beyond 7 days. In our patients, the presence of a skull fracture in the temporal bone, the heterogeneous density of the EDH in the CT scan, or the 6-hour period between the CT study and the injury did not significantly increase the failure rate of nonsurgical treatment. Although a zero mortality was achieved in this series, these guidelines may not be applicable to the management of an infratentorial EDH. |
| | |
Authors:
|
T Y Chen; C W Wong; C N Chang; T N Lui; W C Cheng; M D Tsai; T K Lin |
Related Documents
:
|
23217644 - Contralateral de novo intraosseous arteriovenous malformation in a child with arteriove... 21453854 - Continent urinary diversion in the epispadias-exstrophy complex. 16244354 - Bilateral optic disc swelling; is a ct scan necessary? 2259394 - Development of a traumatic intracranial hematoma after a "minor" head injury. 15781794 - Is mechanical bowel preparation mandatory for elective colon surgery? a prospective ran... 18538124 - Perforation of small intestine diverticulum in a maintenance hemodialysis patient. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Neurosurgery Volume: 32 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 1993 Feb |
Date Detail:
|
Created Date: 1993-03-23 Completed Date: 1993-03-23 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 176-9; discussion 179 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Female Follow-Up Studies Glasgow Coma Scale Hematoma, Epidural, Cranial / diagnosis, surgery* Hospitalization Humans Male Skull Fractures / diagnosis, surgery Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Supratentorial ependymomas of the first two decades of life. Long-term follow-up of 20 cases (includ...
Next Document: The role of cortex in central pain syndromes: preliminary results of a long-term technetium-99 hexam...