Outcomes of Evacuation Extradural Hematoma via Craniotomy under Local Anesthesia

Abstract

Background: The EDH occurs due to the accumulation of bleeding between the inner table of the skull and the outer layer of the dura mater. It is said to account for 1% - 3% of all head injured patients and 9% of those who are comatose. The only life-saving treatment of choice is evacuation of EDH via craniotomy. Methods: This was a prospective observational study, where 40 patients were in follow-up for determining the outcomes of evacuation via craniotomy. Results: Majority of the patients were young and males. The main outcome of the evacuation was favorable (recovered), but certain unfavorable outcomes were also accounted like mortality. Conclusion: The pre-surgery clinical findings like consciousness of patient were an important indicator for EDH evacuation outcome. In most of the cases, the outcome was favorable with progressive recovery.