title: Burr Hole Evacuation of Extradural Hematoma in Mass Trauma. A Life Saving and Time Saving Procedure: Our Experience in the Earthquake of 2005.
abstract: OBJECTIVE
  To observe the outcome of burr hole evacuation of extradural hematoma (EDH) in mass head injury.
  
  
  METHODS
  This study included patients of any age who sustained head injury in the earthquake of October 8, 2005, were diagnosed as EDH on computed tomography (CT) scan and were admitted in the neurosurgery ward over a period of 3 days. All patients were followed by serial CT scans and neurological assessments.
  
  
  RESULTS
  A total of 36 patients were included in this study. There were 25 male and 11 female patients and the age range was from 5 years to 50 years. All cases were the victim of the earthquake. All patients underwent surgery for evacuation of EDH through a single burr hole. One patient required craniotomy for EDH due to neurological deterioration on the second postoperative day, and 1 patient died.
  
  
  CONCLUSIONS
  As EDH is potentially fatal lesion, evacuation of EDH through a single burr hole has good outcome with less chances of recurrence and complications in mass head injured patients as seen with earthquakes.
authors.affiliation: Ayub Medical College, Neurosurgery Department, Abbottabad, Pakistan.
authors.forename: Ahsan
authors.initials: A
authors.lastname: Aurangzeb
authors.forename: Ehtisham
authors.initials: E
authors.lastname: Ahmed
authors.forename: Saadia
authors.initials: S
authors.lastname: Maqbool
authors.forename: Adil
authors.initials: A
authors.lastname: Ihsan
authors.forename: Asghar
authors.initials: A
authors.lastname: Ali
authors.forename: Sajid Nazir
authors.initials: SN
authors.lastname: Bhatti
authors.forename: Nazir
authors.initials: N
authors.lastname: Alvi
authors.forename: Sajid
authors.initials: S
authors.lastname: Hussain
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000601:surgery; D004190:Disasters; D004322:Drainage / Q000379:methods*; D055866:Earthquakes; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000601:surgery*; D006801:Humans; D008297:Male; D054527:Mass Casualty Incidents; D008875:Middle Aged; D010154:Pakistan; D014207:Trephining / Q000379:methods*