الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 109 |  |  |
| | | from | 109 | | |
Abstract
Introduction: Epidural hematomas (EDH) account for about 2–3% of all head injuries in the pediatric population and represent 1–6% of all diagnoses in children hospitalized after traumatic brain injury. They are known as an important neurosurgical emergency, which has to be diagnosed rapidly and treated adequately. The treatment of EDH can be surgical or conservative, and the indication for surgery is based on clinical and radiological parameters. The availability of an advanced pediatric trauma care and urgent surgery can lead to very good treatment outcome. The Aim of this study: The purpose of this study is to determine the pattern and short term outcome of traumatic epidural hemorrhage in pediatric population in order to improve the management of pediatric trauma patients at Emergency Hospital Mansoura University. Materials and methods: This is a prospective observational clinical study which was conducted over trauma patients presented and admitted to Emergency Hospital Mansoura University over a year from January 2022 to January 2023 after obtaining the approval from Institutional Research Board (IRB), Faculty of Medicine, Mansoura University. Results: The current study revealed The mean age was 8.75±4.83. Most of the studied cases were within the age between 6 and 11 years old (41.3%), followed by age between 12 and 18 years old (30.2%) and lately the age between 1 and 5 years old (28.6%). Male to females (M/F) ratio was 2/1. •Road accidents (54%) and fall (46%) were the most common causes of injury, while Sport fall, domestic fall and other falls represented about 17.5%, 19% and 9.5% of the studied cases respectively. •The median lengths of hospital stay and ICU stay were 9 days and 6 days respectively. •Most of the studied cases were associated with full recovery (36.5%), while moderate disability, severe disability and death were recorded in of cases 30.2%,28.6% and 4.8% respectively. •Skull fracture and scalp injuries were recorded in 90.5% and 93.7% of cases respectively. •Temporal was the most frequently comprised site for EDH (42.9%), followed by frontal (25.4%) then parietal (22.5%) and lastly occipital (9.5%). •The median GOS on admission was 7, while the median GOSE on discharge was 10. •The outcomes of traumatic epidural hemorrhage in pediatric cases were associated with significant correlations with age, clinical presentation, cause of injury, associated intracranial lesions, hospital length stay, ICU Stay, GOS on admission, GOSE on discharge, skull fracture, and EDH site. •Age, clinical presentation, hospital length stay and ICU stay could be used as significant predictors of disabilities (P<0.05). Conclusion: Pediatric EDH is recognized as one of the most frequent neurosurgical emergencies which can be managed with good outcome. It must be diagnosed in the early period of the trauma. Different factors affect the outcome of extradural haematoma including age, clinical presentation, cause of injury, associated intracranial lesions, hospital length stay, ICU Stay, GOS on admission, GOSE on discharge, skull fracture, and EDH site. Keywords: Epidural hematoma -Short term outcome.