Frequency of Extra-dural Hematoma in Patients with Head Injury

Abstract

Objectives: To determine the frequency of extra-dural hematoma in patients with head injury.Patients and Methods: This cross sectional descriptive study was done in neurosurgery department of Hayat-abad Medical Complex, Peshawar, from 2nd February 2012 to 1st September 2012. All patients of head injury, from all ages and both genders were included. Patients in whom EDH caused by bleeding disorders or vascular malformations of the dura mater and post surgical EDHs were excluded from the study. CT scan brain was done for all patients to confirm their diagnosis. The information regarding patient demographical details, clinical presentation and site and size of hematoma was documented in patient’s Performa. The data was analyzed by SPSS version 17.Results: A total of 281 patients with head injuries were included in the study. Out of 281 patients, there were 191 (67.9%) males and 90 (32.02%) females. The mean age was 27 years. Majority of patients 81 (28.8%) were in the age range of 21 – 30 years. EDH was found in 31 (11.03%) patients. Eleven patients (3.91%) had their hemato-mas in temporal region. Temporo-parietal region was involved in 9 (3.2%) patients. Frontal and parietal region was affected in 5 patients (1.78%) each. One patient had extra-dural hematoma in posterior cranial fossa.Conclusion: Extra-dural haematoma is fond in 11% of head injury cases. It is more contain in males as com-pared to females. It is most common in 20 – 40 years of age, temporal and parallel cases are most frequently in-volved regions. The mortality in head injury patients can be reduced if extra-dural hematoma diagnosis and operation done early