title: Extradural haematoma in children: surgical experiences and prospective analysis of 170 cases.
abstract: OBJECTIVE
  We present our experiences in the management of extradural haematoma in     children which involved an aggressive diagnostic approach, prompt surgical     evacuation results in an excellent outcome.
  
  
  METHODS
  170 EDH     patients who underwent surgery in our department from January 2006 to July 2010     included in this prospective study. Each patient evaluated in term of age, sex,     mode of injury, localization of haematoma, clinical presentation, CT findings,     operative measures and outcome.
  
  
  RESULTS
  Out of 170 cases 72%, (n=122) were boys     and 28 %,( n=48) were girls. The boys to girls ratio was 2.54: 1. Age ranged     from 1.8 to 18 years with a mean age of 9.49 years. Most of the victims are in     the 11-18 years age group 44% ( n=74). The most common mode of injury was fall     41%, (n = 70) followed by Road traffic Accident (RTA) 32%, (n = 54) .The most     common clinical presentation was altered sensorium 61 %, (n= 104), followed by     headache and/or vomiting 56 %, (n = 96). The mortality rate was 8%.
  
  
  CONCLUSIONS
  EDH is recognized as one of the most rewarding neurosurgical emergencies. It     must be diagnosed in the early period of the trauma and evacuated early to     prevent potential mortality and morbidity. Different factors affect the outcome     of extradural haematoma Surgery including age of the patient, presence of     cranial fractures, associated brain lesions and pre-operative neurological     condition of patient, duration of time interval between onset of coma and     surgical intervention. Better prognosis is seen in patients less than 10 years     of age.
authors.affiliation: Department of Neurosurgery, Dhaka Medical College, Dhaka, Bangladesh.
authors.forename: Sharif Noman Khaled
authors.initials: SN
authors.lastname: Chowdhury
authors.forename: K M Tarikul
authors.initials: KM
authors.lastname: Islam
authors.forename: Ehsan
authors.initials: E
authors.lastname: Mahmood
authors.forename: S K Sader
authors.initials: SK
authors.lastname: Hossain
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001929:Brain Edema / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D015600:Glasgow Coma Scale; D006407:Hematoma, Epidural, Cranial / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D009460:Neurologic Examination; D019635:Neurosurgical Procedures / Q000379:methods*; D011379:Prognosis; D011446:Prospective Studies; D011680:Pupil / Q000502:physiology; D012887:Skull Fractures / Q000150:complications / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome