title: Traumatic extradural hematoma - role of non-surgical management and reasons for conversion.
abstract: BACKGROUND
  To study the role of conservative management and various reasons for conversion to surgical intervention in traumatic extradural hematoma (EDH).
  
  
  METHODS
  Government Medical College Jammu.
  
  
  METHODS
  One hundred-twenty trauma patients diagnosed as extradural hematoma on CT scan were managed during 1 year period.
  
  
  RESULTS
  Role of conservative management and various reasons for conversion to surgical intervention were studied.
  
  
  RESULTS
  Out of these 120 patients admitted 67 were managed conservatively, 53 cases were operated upon. 31 were operated upon immediately and 22 were operated upon as delayed. There was 1 death and 4 had poor outcome in this group of patients.
  
  
  CONCLUSIONS
  It is stressed that small size <10 ml, GCS >12 and locations other than temporal area are the criteria for conservative management. Twenty-two patients out of 89 were needed to be treated surgically during the course of conservative management due to neurodeterioration, increase in size of hematoma on CT, bradycardia, hemiparesis, pupillary abnormalities, delay in referral and only 18% had poor outcome. A strict vigilance is to be kept for clinical deterioration and various reasons mentioned above are to be kept in mind and patients should be subjected to repeated CT scan. Early diagnosis and immediate surgical intervention had good outcome, which shows the fruitful results of early diagnosis and intervention.
authors.affiliation: Department of Surgery, Government Medical College Jammu, Jammu and Kashmir, India  ; Department of Surgery, Medical College, Jammu, Jammu and Kashmir, India.
authors.forename: Kulwant Singh
authors.initials: KS
authors.lastname: Bhau
authors.forename: Shalinder Singh
authors.initials: SS
authors.lastname: Bhau
authors.forename: Sanjay
authors.initials: S
authors.lastname: Dhar
authors.forename: Shaadi Lal
authors.initials: SL
authors.lastname: Kachroo
authors.forename: M L
authors.initials: ML
authors.lastname: Babu
authors.forename: R K
authors.initials: RK
authors.lastname: Chrungoo
keywords: Conservative management; Extradural hematoma; Head injury; Surgical management