Spontaneous healing of acute epidural haematomas (EDHs): A study of 35 patients

G. Sangiovanni, R. Pugliese, G. Campagna, V. Silvani, L. Infuso, G. L. Brambilla

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Abstract

Epidural haematoma (EDH), due to its rapid evolution, is a traumatic pathology thought to require urgent surgery. Recently this attitude partly changed, due to the fact that a category of non-surgically managed patients has been identified. The authors found, in a series of 157 patients admitted to the Neurosurgical Clinic of the University of Pavia and suffering epidural haematomas (EDH), 35 individuals in whom, on the basis of clinical and CT scan results, they preferred to use conservative treatment. The criteria for non-surgical treatment were: lack of symptoms or the presence of neurological disturbances unrelated to the EDH, thickness of the EDH less than 15 mm and a midline shift less than 10 mm. All the patients were, on admission, evaluated using the Glasgow Coma Scale (GCS) and studied with skull X-ray and CT scanning. Two patients subsequently underwent surgical operation following an increase in the EDH and a worsening of the GCS. The outcome was good in all patients: in particular they returned to their previous level of activity without neurological deficit or seizures.

Original languageEnglish
Pages (from-to)631-633
Number of pages3
JournalMedical Science Research
Volume24
Issue number9
Publication statusPublished - 1996

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Keywords

  • Conservative and surgical treatment
  • Epidural haematoma
  • Head injury

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

Cite this

Sangiovanni, G., Pugliese, R., Campagna, G., Silvani, V., Infuso, L., & Brambilla, G. L. (1996). Spontaneous healing of acute epidural haematomas (EDHs): A study of 35 patients. Medical Science Research, 24(9), 631-633.