Naseer Hassan, Farooq Azam, Sajjad Ahmad, Muhammad Usman.
Extra dural hematoma surgical outcome using glasgow coma scale in a tertiary care hospital of Khyber Pakhtunkhwa.
J Postgrad Med Inst Jan ;33(2):155-9.

Objectives: To determine the frequency of various surgical outcomes of acute extra dural hematoma (EDH) in the Department of Neurosurgery, Lady Reading Hospital, Peshawar. Methodology: This was a case series study conducted in Neurosurgery Department, Lady Reading Hospital (LRH) Peshawar, from 1 st January 2009 to 30 th September 2009. Total 145 consecutive patients of acute extradural hematoma were admitted and their baseline GCS was recorded. They were operated by consultant neurosurgeon. Post-operative outcome including good recovery, moderate disability, severe disability, persistent vegetative state and death were recorded. Results: Out of 145 cases, 82% were male and 18% were female. Majority of the cases were less than14 years old. Fall was the cause of EDH in 60% patients, road traffic accident (RTA) in 26% and physical assault was the mode of injury in 14%. Interval between injury and surgery of more than 8 hours was recorded in majority of the cases. Parietal lobe was the commonest site of EDH. Craniotomy was performed in 80% cases and craniectomy in 20% cases. Post-operative GCS of 13-15 was noted in 123 (85%) cases compared to GCS at arrival of 13-15 in 72 (50%) cases. Post-operatively, good recovery was noted in majority of the cases (n=123, 85%) having higher GCS scores (13-15). Conclusion: Surgical outcome in EDH patient is affected by GCS. Lower GCS have poor outcome. Good recovery was noted in maximum cases.

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