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Conservative Management of Large Traumatic Supratentorial Epidural Hematoma in the Pediatric Population.

Authors :
Champagne PO
He KX
Mercier C
Weil AG
Crevier L
Source :
Pediatric neurosurgery [Pediatr Neurosurg] 2017; Vol. 52 (3), pp. 168-172. Date of Electronic Publication: 2017 Mar 23.
Publication Year :
2017

Abstract

Background/aims: Conservative management of traumatic epidural hematomas is being recognized as a safe alternative to surgical treatment in asymptomatic children. There is still debate about the maximal size of epidural hematoma that should be tolerated before deciding for surgery.<br />Methods: We report - through a retrospective cohort study from a single institution - a series of 16 conservatively managed traumatic epidural hematomas of more than 15 mm thickness.<br />Results: 14 patients (88%) were successfully treated using conservative management. Two patients required surgery. These 2 patients had the only 2 documented high-velocity injury mechanisms. All patients had a Glasgow Outcome Scale of 5/5 on follow-up.<br />Conclusion: Conservative management with close observation is a safe alternative even in this population of voluminous hematomas. Injury velocity may be a contributing factor for failure of conservative management in this population.<br /> (© 2017 S. Karger AG, Basel.)

Details

Language :
English
ISSN :
1423-0305
Volume :
52
Issue :
3
Database :
MEDLINE
Journal :
Pediatric neurosurgery
Publication Type :
Academic Journal
Accession number :
28329751
Full Text :
https://doi.org/10.1159/000455925