EXTRA DURAL HEMATOMA SURGICAL OUTCOME USING GLASGOW COMA SCALE IN A TERTIARY CARE HOSPITAL OF KHYBER PAKHTUNKHWA
Main Article Content
Objectives: To determine the frequency of various surgical outcomes of acute extra dural hematoma (EDH) in the Department of Neurosurgery, Lady Reading Hospital, Peshawar.
Methodology: This was a case series study conducted in Neurosurgery Department, Lady Reading Hospital (LRH) Peshawar, from 1st January 2009 to 30th September 2009. Total 145 consecutive patients of acute extradural hematoma were admitted and their baseline GCS was recorded. They were operated by consultant neurosurgeon. Post-operative outcome including good recovery, moderate disability, severe disability, persistent vegetative state and death were recorded.
Results: Out of 145 cases, 82% were male and 18% were female. Majority of the cases were less than14 years old. Fall was the cause of EDH in 60% patients, road traffic accident (RTA) in 26% and physical assault was the mode of injury in 14%. Interval between injury and surgery of more than 8 hours was recorded in majority of the cases. Parietal lobe was the commonest site of EDH. Craniotomy was performed in 80% cases and craniectomy in 20% cases. Post-operative GCS of 13-15 was noted in 123 (85%) cases compared to GCS at arrival of 13-15 in 72 (50%) cases. Post-operatively, good recovery was noted in majority of the cases (n=123, 85%) having higher GCS scores (13-15).
Conclusion: Surgical outcome in EDH patient is affected by GCS. Lower GCS have poor outcome. Good recovery was noted in maximum cases.
Work published in JPMI is licensed under a
Creative Commons Attribution-NonCommercial 2.0 Generic License.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.