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Correlation of Clinical and Ct Scan Findings in Relation to Mortality in Deceased Victims Diagnosed with Extradural Hematoma


Affiliations
1 Department of Surgery, MVJ Medical College and Research Hospital, Bangalore, Karnataka, India
2 Department of Forensic Medicine, Basaveshwara Medical College & Hospital, Chitradurga, Karnataka, India
3 Department of Radiology, MVJ Medical College and Research Hospital, Bangalore, Karnataka, India
4 Department of Community Medicine, Basaveshwara Medical College & Hospital, Chitradurga, Karnataka, India
5 Department of Microbiology, Basaveshwara Medical College & Hospital, Chitradurga, Karnataka, India
6 Department of Forensic Medicine, Basaveshwara Medical, College & Hospital, Chitradurga, Karnataka, India
     

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Extradural hematomas occur frequently as an intracranial finding in trauma to the head. The mortality and morbidity in head injury cases are assessed by factors like progressive deterioration of consciousness, patient age less than 80 years, Glasgow coma scale (GCS) of 5-11, lack of severe coagulopathy or presence of systemic disease; and CT findings like increased edema, compression on brain stem, shift effect hematoma location on non-dominant hemisphere. Very few attempts have been undertaken to study the dimensions and the effects of hematomas in the CT scans and to relate the findings in autopsy. This study was undertaken to analyze the epidemiological and pathological factors of extradural hematoma as well as to correlate the radiological findings in death cases to arrive at the factors influencing the mortality. Thickness and diameter of the hematoma and their relation to mass effect, ventricular shift and midline shift, and incidence of ventricular changes and herniation was studied.

Keywords

Extradural Hematomas, Thickness and Diameter, Mass Effect, Ventricular Shift and Midline Shift
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  • Ismail Yurt, Hamdi Bezircloglu, Yusuf Ersahin, et al. Extradural Hematoma: Analysis of 190 cases. Turkish Neurosurgery 1996; 6: 63-67
  • Ihsan Anik, Halil Ibrahim Secer, Yonca Anik, Bulent Duz, Engin Gonul. Meta-analyses of intracerebral hematoma treatment. Turkish Neurosurgery. 2011; Vol:21: No.1: 6-14
  • Rashmi U. Kothari, Thomas Brott et al. The ABCs of Measuring Intracerebral Hemorrhage Volumes, Stroke. 1996 Aug;27(8):1304-5.
  • Cordobes F, Lobato RD, et al. Observation on 82 patients with extradural hematoma: J Neurosurg 1981; 54: 179-186
  • Mc.Kissock W, Taylor JC, et al. Extradural hematoma: Observations on 125 cases. Lancet 1960; 23; 167-172.
  • Seeling JM, Marshall LF, Toutant SM, et al. Traumatic acute epidural hematoma: unrecognized high lethality in comatose patients. Neurosurgery 1984; 15:617-620.
  • Ozkan U, Kemaloglu S. et al. Analyzing extradural hematomas: A retrospective clinical investigation. Cicl Tip Dergisi, 2007; Cilt: 34, Sayi: l, 14-19.
  • Ersahin Y, Mutluer S, Guzelbag E. Extradural hematoma analysis of 146 cases, Child’s Nerv Sysst 1993; 9:96-99.
  • Baykaner K, Alp H, Ceviker N, Keskil S, Seckin Z. Observaton of 95 patients with extradural hematoma and review of literature. Surg Neurol 1988; 30:339-341.

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  • Correlation of Clinical and Ct Scan Findings in Relation to Mortality in Deceased Victims Diagnosed with Extradural Hematoma

Abstract Views: 415  |  PDF Views: 0

Authors

V. Ravikumar
Department of Surgery, MVJ Medical College and Research Hospital, Bangalore, Karnataka, India
Hareesh R. S. Kumar
Department of Forensic Medicine, Basaveshwara Medical College & Hospital, Chitradurga, Karnataka, India
R. Dayanand Kumar
Department of Radiology, MVJ Medical College and Research Hospital, Bangalore, Karnataka, India
Nagendra Gowda
Department of Community Medicine, Basaveshwara Medical College & Hospital, Chitradurga, Karnataka, India
Rashmi Belodu
Department of Microbiology, Basaveshwara Medical College & Hospital, Chitradurga, Karnataka, India
V. Chandan
Department of Forensic Medicine, Basaveshwara Medical, College & Hospital, Chitradurga, Karnataka, India

Abstract


Extradural hematomas occur frequently as an intracranial finding in trauma to the head. The mortality and morbidity in head injury cases are assessed by factors like progressive deterioration of consciousness, patient age less than 80 years, Glasgow coma scale (GCS) of 5-11, lack of severe coagulopathy or presence of systemic disease; and CT findings like increased edema, compression on brain stem, shift effect hematoma location on non-dominant hemisphere. Very few attempts have been undertaken to study the dimensions and the effects of hematomas in the CT scans and to relate the findings in autopsy. This study was undertaken to analyze the epidemiological and pathological factors of extradural hematoma as well as to correlate the radiological findings in death cases to arrive at the factors influencing the mortality. Thickness and diameter of the hematoma and their relation to mass effect, ventricular shift and midline shift, and incidence of ventricular changes and herniation was studied.

Keywords


Extradural Hematomas, Thickness and Diameter, Mass Effect, Ventricular Shift and Midline Shift

References