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Conservative Management of Large Traumatic Supratentorial Epidural Hematoma in the Pediatric Population.
- 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.)
- Subjects :
- Adolescent
Child
Child, Preschool
Craniocerebral Trauma diagnostic imaging
Female
Humans
Infant
Male
Retrospective Studies
Tomography, X-Ray Computed
Conservative Treatment methods
Craniocerebral Trauma complications
Hematoma, Epidural, Cranial etiology
Hematoma, Epidural, Cranial surgery
Hematoma, Epidural, Cranial therapy
Subjects
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