Bilateral epidural hematoma

Bilateral epidural hematomas are very rare and are associated with high mortality. The purpose of this study is to identify the clinical features, mechanisms, and outcomes of bilateral epidural hematomas. This report considers 19 cases of bilateral epidural hematoma hospitalized between 1987 and 199...

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Bibliographic Details
Published in:Neurosurgical review 2000-03, Vol.23 (1), p.30-33
Main Authors: GÖRGÜLÜ, A, COBANOGLU, S, ARMAGAN, S, KARABAGLI, H, TEVRÜZ, M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Brain Edema - diagnostic imaging
Brain Edema - etiology
Brain Edema - surgery
Child
Child, Preschool
Female
Functional Laterality - physiology
Glasgow Coma Scale
Hematoma, Epidural, Cranial - diagnostic imaging
Hematoma, Epidural, Cranial - etiology
Hematoma, Epidural, Cranial - surgery
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Middle Aged
Neurology
Neurosurgical Procedures
Tomography, X-Ray Computed
Traumas. Diseases due to physical agents
Tropical medicine
Turkey
Vascular diseases and vascular malformations of the nervous system
Wounds and Injuries - complications
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Summary:Bilateral epidural hematomas are very rare and are associated with high mortality. The purpose of this study is to identify the clinical features, mechanisms, and outcomes of bilateral epidural hematomas. This report considers 19 cases of bilateral epidural hematoma hospitalized between 1987 and 1997. All of the cases, with the exception of three, were diagnosed within the first 6 h. The neurologic evaluations on admission and during hospital stay were based on the Glasgow Coma Scale. Hematomas were determined by CT scans in all cases. The patients were evaluated using the Glasgow Outcome Scale after 6 months. In 13 patients, the bilateral epidural hematoma was in the midline. In six patients, hematomas were at different locations on either side. Surgical approach was chosen as the primary treatment modality in 18 patients. One was treated conservatively. The mortality rate was 15.7% in this series. With the widespread use of CT scan, diagnosis before deterioration of the neurological status affects the results of surgery and prognosis or even presents the possibility of a conservative treatment.
ISSN:0344-5607
1437-2320
DOI:10.1007/s101430050028