Subacute and chronic extradural hematomas: A study of 30 cases

Eugenio Pozzati, Franco Frank, Giorgio Frank, Giulio Gaist

Research output: Contribution to journalArticlepeer-review

Abstract

The authors report 30 cases of extradural hematomas with prolonged course: the interval between injury and development of clinical signs was more than 48 hours. Twenty-nine were operated upon. These delayed cases have a mild clinical course and a better prognosis than the acute. Contrary to the reports that many subacute and chronic epidural hematomas are located other than temporally, the present series shows the high incidence (83%) of temporal lesions. Of the patients 74% recovered and returned to their previous occupations: the two deaths were from causes not directly related to the injury and hematoma. We conclude that most subacute hematomas arise from various, often combined, low-tension sources of bleeding. The importance of recognizing gradual neurologic deterioration and performing craniotomy in these patients is emphasized.

Original languageEnglish
Pages (from-to)795-799
Number of pages5
JournalThe Journal of trauma
Volume20
Issue number9
Publication statusPublished - 1980

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Surgery

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