Conservative vs. Surgical Management of Post | 合法醫療器材資訊網

由RMaugeri著作·2015·被引用24次—SurgicalManagementofPost-TraumaticEpiduralHematoma:ACaseandReviewofLiterature...Patientswithepiduralhematomaswhomeetsurgicalcriteriaandreceivepromptsurgical...Revisitingtreatmentguidelines.

Head injury remains the single greatest cause of death and disability among children and young adults. Fortunately, patients with extradural hematoma (EDH) are generally treatable and often have a favorable clinical outcome [5] when free of other injuries [8–10]. The mortality rate associated with this condition has improved radically since the time of Rose and Carless, who in 1927 reported mortality rates of 86% [11]. With modern surgical and anaesthesia techniques, the mortality rate of epidural hematomas has been reduced to almost 0% in non-comatose patients [12]. New surgical options have been analyzed for replacing the classic surgical technique of craniotomy [13,14].

Epidural hematoma often has a traumatic origin and in most of cases is caused by a medial meningeal artery lesion. The blood collection grows rapidly in the epidural space, compressing the underlying...