Background:Pediatric epidural hematomas(EDH)represent a neurosurgical emergency.Both surgical and conservative treatment can lead to a good clinical outcome.The aim of the study was to review our series of pediatric E...Background:Pediatric epidural hematomas(EDH)represent a neurosurgical emergency.Both surgical and conservative treatment can lead to a good clinical outcome.The aim of the study was to review our series of pediatric EDH and to determine the clinical and radiologic factors,which can influence the final outcome.Methods:All children aged from 0 to 16 that have been treated between 2013 and 2017 for cranial EDH have been selected.Results:Thirty children have been included in the study.Seventeen cases have been treated with surgical evacuation and 13 conservatively.Six months after the trauma,the outcome was excellent(mRS 0)in 25/30(83.3%)cases,mild deficits(mRS 1-2)were present in 4/30(13.3%),and severe deficits(mRS 3-5)in 1/30(3.3%)cases.Only a GCS(Glasgow Coma Scale)below 8 at admission was significantly related to the presence of a neurologic deficit at 6 months(p=0.048).Conclusions:EDH can be managed with excellent outcomes.Even in the presence of bad initial clinical and radiologic conditions,a correct treatment strategy can lead to a good recovery.In our series,only a GCS below 8 at admission was significantly related to the presence of neurological sequelae.展开更多
文摘Background:Pediatric epidural hematomas(EDH)represent a neurosurgical emergency.Both surgical and conservative treatment can lead to a good clinical outcome.The aim of the study was to review our series of pediatric EDH and to determine the clinical and radiologic factors,which can influence the final outcome.Methods:All children aged from 0 to 16 that have been treated between 2013 and 2017 for cranial EDH have been selected.Results:Thirty children have been included in the study.Seventeen cases have been treated with surgical evacuation and 13 conservatively.Six months after the trauma,the outcome was excellent(mRS 0)in 25/30(83.3%)cases,mild deficits(mRS 1-2)were present in 4/30(13.3%),and severe deficits(mRS 3-5)in 1/30(3.3%)cases.Only a GCS(Glasgow Coma Scale)below 8 at admission was significantly related to the presence of a neurologic deficit at 6 months(p=0.048).Conclusions:EDH can be managed with excellent outcomes.Even in the presence of bad initial clinical and radiologic conditions,a correct treatment strategy can lead to a good recovery.In our series,only a GCS below 8 at admission was significantly related to the presence of neurological sequelae.
