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Journal of Korean Neurosurgical Society 1989;18(6): 903-909.
Non-Operative Management of 20 Extradural Hematomas.
Soo II Kim, Hun Joo Kim, Yang Pya Han, Soon Ki Hong, Chul Hu
Department of Neurosurgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
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.
Key Words: Non-operative management; Epidural hematoma(EDH); Expansile phase; Brain CT scan
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