The haematoma was in the temporal region in 24 patients (48%), in the posterior fossa in four (8%) patients and in the remainder the haematoma was either parietal or frontal.Įvery patient had a follow-up CT scan twice in the first 2 weeks and once every 2 weeks subsequent to that. McLaurin and Towbin mentioned in 1989 that the definitive treatment of extradural haematomas should always be surgical removal and delay of this treatment is unacceptable once the diagnosis has been established. Over the last few years, there has been literature published about operative versus conservative management of extradural haematomas. in 2013 described three cases of extradural haematoma and their management, focusing on operative and non-operative treatment. They also reviewed, at that time, the available literature from the past three decades as well as the guidelines for management of extradural haematoma. They concluded that extradural haematoma can be managed non-operatively provided the Glasgow Coma Scale remains the same with symptomatic improvement. Principles of neurosurgery setti rengachary pdf serial#.
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