title: [Epidural intracranial hematomas: practical issues revealed by management of 100 recent cases].
abstract: We present a retrospective study on the management of 100 patients who presented epidural hematoma over a four-year period. Our goal was to provide an update on management of this injury. Computed tomography was performed because of the clinical presentation. Results provided information on the type of injury and appropriate treatment. A three-phase clinical progression was observed in only 6% of the patients. Despite state-of-the-art management, mortality remained high in these brain-injured patients (21%). No progress appears to have been achieved in the last ten years. This paradoxical fact probably results from the enhanced severity observed in our patients, who often suffered from associated intracranial injuries as well as multiple trauma (thoracic, abdominal trauma). Analysis study of the results confirms an improvement in mortality among patients with isolated epidural hematoma (6.6%), but great concern remains about the high mortality among patients with associated intracranial lesions (33.3%) or multiple trauma (32%).
authors.affiliation: Service de Neurochirurgie, CHU Nord/Université de la Méditerranée, Marseille. JeanRoch.ALLIEZ@ap-hm.fr
authors.forename: J-R
authors.initials: JR
authors.lastname: Alliez
authors.forename: N
authors.initials: N
authors.lastname: Hilal
authors.forename: J-M
authors.initials: JM
authors.lastname: Kaya
authors.forename: M
authors.initials: M
authors.lastname: Leone
authors.forename: Y
authors.initials: Y
authors.lastname: Reynier
authors.forename: B
authors.initials: B
authors.lastname: Alliez
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies