title: Supratentorial extradural hematoma in children: An institutional clinical experience of 65 cases.
abstract: OBJECTIVE
  To survey the epidemiology, management, and severity of extradural hematoma (EDH) in children.
  
  
  METHODS
  All patients of EDH (n = 65) in the age group of 0-16 years admitted to our department during the period of August 13 and July 14 were analyzed retrospectively from the hospital records. In all patients, age, sex, mode of injury, clinical presentation, site of EDH, management, duration of hospitalization, and outcome were evaluated.
  
  
  RESULTS
  Of 65 patients, males were 70.76% with a male to female ratio of 2.4:1, most of the victims (47.69%) were in the age group of 11-16 years. Mean duration of hospitalization was 4.32 days. The most common mode of injury was fall from height in 29 cases (44.61%) followed by road traffic accident (RTA) in 23 cases (35.35%). Temporoparietal EDH was the most common computed tomography finding present in 22 (33.84%) patients. 67.69% patients presented to casualty with minor head injury having Glasgow coma scale (GCS) between 14 and 15. Most common presenting feature was vomiting in 52 cases (80%) and next to it was altered sensorium. The mortality rate was 7.69% (n = 5).
  
  
  CONCLUSIONS
  Extradural hematoma is a life-threatening entity encountered in pediatric head injury. Timely intervention and diagnosis decrease mortality to a great degree. Most of the mortality is encountered in patients who presented late at the neurosurgical unit with low GCS.
authors.affiliation: Department of Neurosurgery, SCB Medical College, Cuttack, Odisha, India.
authors.forename: Pratap Chandra
authors.initials: PC
authors.lastname: Nath
authors.affiliation: Department of Neurosurgery, SCB Medical College, Cuttack, Odisha, India.
authors.forename: Sudhansu Sekhar
authors.initials: SS
authors.lastname: Mishra
authors.affiliation: Department of Neurosurgery, SCB Medical College, Cuttack, Odisha, India.
authors.forename: Srikant
authors.initials: S
authors.lastname: Das
authors.affiliation: Department of Neurosurgery, SCB Medical College, Cuttack, Odisha, India.
authors.forename: Rama Chandra
authors.initials: RC
authors.lastname: Deo
keywords: Children; Glasgow coma scale; Glasgow outcome scale; extradural hematoma; mortality; supratentorial