title: Minimally-invasive aspiration and drainage for management of traumatic epidural hematoma straddling transverse sinus.
abstract: OBJECTIVE
  To investigate the therapeutic effect of minimally-invasive aspiration and drainage in traumatic epidural hematoma straddling transverse sinus (TEHSTS).
  
  
  METHODS
  Fifty-eight patients (39 males and 19 females) with TEHSTS and initial admission Glasgow Coma Scale (GCS) score of 8-10 (mean = 9) were treated with minimally-invasive aspiration and drainage under computed tomography (CT) guidance. Urokinase was used for irrigation and drainage. Post-operatively CT scan was performed at 3 h, 3 days, and 5 days. The volume of hematoma was calculated, and Glasgow outcome scale (GOS) was evaluated 3 months after the operation.
  
  
  RESULTS
  The volume of hematoma at 3 h and 3 days post-operation (20 ± 5 ml and 15 ± 2 ml; respectively) were significantly lower than that of pre-operation (45 ± 10 ml; P < 0.05). The hematoma was totally evacuated on 3-5 days post-operation. The GCS was 12 ± 1 on the 5 th day after the operation, which was significantly higher than that of pre-operation (8 ± 1; P < 0.05). Three months after operation, 45 (77%) patients had good recovery (GOS: 5) and 9 (15%) patients had moderate disability (GOS: 4).
  
  
  CONCLUSIONS
  Minimally-invasive aspiration and drainage could be potentially effective in the treatment of TEHSTS with GCS score of equal or greater than 8 points.
authors: Department of Neurosurgery, The 1st Affiliated Hospital of He'nan University of Science and Technology, Luoyang, China. zhaofengli001@163.com
authors: Zhaofeng
authors: Z
authors: Lu
authors: Gangyi
authors: G
authors: Zhu
authors: Yongming
authors: Y
authors: Qiu
authors: Xiaobing
authors: X
authors: Cheng
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004322:Drainage / Q000379:methods*; D005260:Female; D015600:Glasgow Coma Scale; D023261:Glasgow Outcome Scale; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011184:Postoperative Period; D011859:Radiography; D013396:Suction / Q000379:methods; D054064:Transverse Sinuses / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome