Pediatrik Yaş Grubunda Hafif Semptomatik Büyük Ekstradural Hematomların Konservatif Tedavisi: 20 Vaka Serisi

Abstract

Aim: Conservative treatment is a safe alternative to surgical treatment in patients with asymptomatic or mildly symptomatic extradural hematoma seen in the pediatric age group. There is still a debate about patient selection criterias. This study highlights the radiological and clinical features of pediatric large EDH patients treated without surgery. Material and Methods: In this retrospective-cohort study, we present a review of the data of 20 pediatric EDH patients treated in Health Sciences University, Bursa Yüksek Ihtisas Training and Research Hospital between 2015 and 2020. This study; includes patients with Glasgow Coma Scale (GCS) 14+ and diagnosed EDH thickness ≥ 15mm in computed tomography (CT), treatment protocol and outcomes. Results: Of the 206 patients diagnosed with EDH, 131 (63,5 %) had an initial GCS ≥ 14. Furthermore, 23 (11,1 %) patients had EDH thickness ≥ 15 mm. 3 patients were excluded from study because of emergent surgery. The number of patients included in the study was 20 and all patients had a GOS score of 5 on at least one -year follow-up. Conclusion: According to our results, conservative treatment is an optimal alternative to surgical treatment in pediatric large EDH patients. However, patient selection and clinical features are very important.