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academies
August 14-16, 2017 | Toronto, Canada
BRAIN DISORDERS AND DEMENTIA CARE
4
th
International Conference on
Neurosurg, an open access journal
ISSN: 2471-9633
T
he objective of the study is to assess clinical features
and imaging study and surgical treatment outcomes.
We carried out a retrospective analysis, 71 cases of patients
with Posterior Fossa Epidural Hematoma PFEDH who were
admitted to the Cho Ray Hospital (Ho Chi Minh, Vietnam)
from 2011 through 2013. Diagnosis was established in all
patients with the aid of CT scanning because the clinical
manifestations were frequently nonspecific. Cases were
stratified by clinical course, Glasgow Coma Scale score, and
their image head CT status. Based on clinical and radiological
parameters of head CT the patients underwent surgical
procedure. Seventy-one patients underwent surgery. Mostly
male individuals were affected with PFEDH. The results of
research on the surgical treatment of epidural hematoma
after traumatic posterior fossa of 71 cases includes- Results
regarding clinical features and imaging: Factors such as
age epidemiology are common in ages from 20-30 years
old. Found more men and women with the proportion of
male/female: 4/1. Causes of injury in CHORAY hospital in
Vietnam we recorded realized mainly because of traffic
accidents accounted for 71.8%, the accident usually
happened to a group of workers. In clinical we noted that
patients hospitalized with a history of head injury or occipital
region accounted for 100%. Bruising, wound or contusion
occipital scalp accounted 88.7%, headaches 64.8%, nausea
or vomiting 17/71 (23.9%), dizziness 7/71 (9.9%), otorrhea
4/71 (5.6%), neck stiffness 2/71 (2.8%) of cases. On detection
head CT occupies 95.8% occipital bone fracture, deformation
of cerebral ventricular image occupies 67.6%, midline shift
28.2%. Fourth ventricular collapse accounted for 56.4%.
Shape style typical hematomas accounted 97.2% biconvex
(lenticular). Underlying intra-cerebral lesions accounted
for 63.38%. Most cases of our posterior fossa epidural
hematoma starting surgical treatment with a minimum of
12 ml hematoma, a minimum thickness of 1.3 cm; Results
regarding evaluation result of surgical treatment: All our 71
cases were treated with surgery. The technique of surgery
craniectomy and hematoma removal accounted for 66.2%,
craniectomy leaving the bridging skull bones accounted
for 33.8%. Source found intraoperative bleeding, bleeding
from the bone marrow fracture 85.9%, unknown cause
7.0%, venous sinus 5.6% and 1.4% dural arteries. Underlying
intracranial surgery accounted for 15.5% of cases. Successful
surgical outcome with a good recovery rate return to the
normal activities accounted for 87.3%, moderate functional
losing 8.5%, severe functional loss of 2.8%, no case of
vegetative state. The early complication is accounting for
5.6% which re-operative accounted for 1.4% within the early
complication. The mortality rate of 1.4% we occupy among
the re-operative complications. Using statistical methods,
we noted factors affecting treatment outcomes include
the following elements: GCS score at composing surgery,
underlying intracranial surgery and midline shift.
e:
Longsorrr@gmail.comSurgical treatment of traumatic posterior fossa epidural hematoma
Long Sor
1
Cho Ray Hospital, Vietnam
2
University of Medicine and Pharmacy, Vietnam
Neurosurg 2017, 2:2
DOI: 10.21767/2471-9633-C1-006