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  1: Dicle Tıp Dergisi 2007;34(1):14-19

  ANALYZING EXTRADURAL HAEMATOMAS: A RETROSPECTIVE CLINICAL INVESTIGATION  

  ÜMİT ÖZKAN, SERDAR KEMALOĞLU, MUSTAFA ÖZATEŞ, ASLAN GÜZEL, MEHMET TATLI

Department of Neurosurgery, School of Medicine, Dicle University Diyarbakır

In this study, of 3462 cases admitted with cranial trauma between 1992 and 2000. The 115 cases that were diagnosed as extradural haematoma (EDH), were analyzed to obtain the outcome of extradural hematomas. Each patient was evaluated retrospectively in terms of age, sex, and models of injury, localization of the haematoma, origins of bleeding, neurological findings and diagnostic investigations. The outcomes for each patient were retrieved and analyzed, and the chi-square test was used in the statistical analyses. Of all the patients in this group, 88 (76%) were male and 27 (24%) were female, of the patients, 70% were between 10-40 years old. The outcomes showed a significant correlation with Glasgow Coma Scale score, pupillary sizes, and pyramidal signs (p <0.05).The radiologic findings of the the size hematoma, the degree of the brain shift, significantly correlated with outcome (p < 0.05). Factors such as coma, pupil alterations, volume of haematoma, presence of pyramidal signs, midline shift, and lucid interval the existence of local motor findings are risk factors for the outcome in patients with EDH.


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