Selection of surgical options for temporal occipital epidural hematomas

VernacularTitle:颞枕部硬膜外血肿手术治疗方式选择
Author: Zhiyuan ZHANG ; Handong WANG ; Jixin SHI ; Chunhua HANG ; Huilin CHENG ; Youwu FAN ; Wei WU ; Liang QIAO ; Xiangyu LIU ; Zhigang HU
Publication Type:Journal Article
Keywords: Brain injuries; Hematoma,epidural,cranial; Cerebrospinal fluid otorrhea
From: Chinese Journal of Trauma 2012;28(7):602-604
CountryChina
Language:Chinese
Abstract: Objective To investigate the choice of surgical procedures in the treatment of temporal occipital epidural hematomas.Methods From March 2006 to March 2011,176 cases with acute temporal occipital epidural hematomas were treated in our hospital.Their clinical data including preoperative Glasgow Coma Sale (GCS),pupil size,hematoma volume,cerebrospinal fluid leakage,time between injury and operation,cerebral midline shift on CT,and brain beat and brain swelling in the operation were retrospectively analyzed.Results There were significant differences in the choice of surgical treatment and prognosis of temporal occipital epidural hematoma according to the preoperative GCS score,pupillary changes,hematoma volume,length of time before surgery,shift of cerebral midline structures,and brain beat and brain swelling in the operation.Conclusion Appropriate surgical procedures selected according to their preoperative and intraoperative conditions is of significant importance for sound prognosis of the patients with acute temporal occipital epidural hematoma.