J Korean Neurosurg Soc.  1989 Jun;18(6):903-909.

Non-Operative Management of 20 Extradural Hematomas

• Kim SI
• Kim HJ
• Han YP
• Hong SK
• Hu C

Abstract

The authors presented an analysis non-operative management on 20 epidural hematomas(EDH's) management who had been admitted from June, 1986. to May, 1988. The results were summarized as follows: 1) A number of EDH patients(17/20) with neurologically minor deficits could be successfully managed by conservative management, whereas we underwent surgical evacuation on 3 other cases with clot volume over 50cc. 2) Serial Brain CT scans on 20 patients revealed mostly two types of resolution pattern: One with an intervening expansile phase preceding net resorption(5 cases; 25%), and the other without this phase(15 cases; 75%). 3) All of patients presented mild symptoms and signs(Glasgow Coma Score>13). However, the common complaints were headache and vomiting. 4) The mean period from admission to discharge was 5.6 weeks, and the mean number of followup CT scan was 4.2 times.

Keyword

Non-operative management; Epidural hematoma(EDH); Expansile phase; Brain CT scan

MeSH Terms

Brain
Coma
Follow-Up Studies
Headache
Hematoma*
Humans
Tomography, X-Ray Computed
Vomiting