Comparison of burr hole drainage and craniotomy for acute liquid epidural hematoma in pediatric patients.
Childs Nerv Syst
; 40(5): 1471-1476, 2024 May.
Article
em En
| MEDLINE
| ID: mdl-38127139
ABSTRACT
PURPOSE:
To compare the impact of burr hole drainage and craniotomy for acute liquid epidural hematoma (LEDH) in pediatric patients.METHODS:
This retrospective study enrolled pediatric patients with LEDH who underwent surgery in the Affiliated Hospital of Nanyang Medical College, China, between October 2011 and December 2019. According to the surgical procedure, patients were divided into the craniotomy group and the burr hole drainage group.RESULTS:
A total of 21 pediatric patients were enrolled (14 males, aged 7.19 ± 2.77 years), including 13 cases in the burr hole drainage group and 8 patients in the craniotomy group. The operation time and hospitalization period in the burr hole drainage group were 33.38 ± 6.99 min and 9.85 ± 1.07 days, respectively, which were significantly shorter than that in the craniotomy group (74.25 ± 9.68 min and 13.38 ± 1.71 days, respectively; all p < 0.05). The Glasgow Coma Scale (GCS) score after burr hole drainage was significantly improved than before (median 15 vs 13, p < 0.05). No serious complications were observed in either group; one patient in the craniotomy group developed an infection at the incision point. All patients were conscious (GCS score was 15) at discharge.CONCLUSION:
Compared with craniotomy, burr hole drainage was associated with better clinical outcomes and early recovery in patients with LEDH.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Hematoma Subdural Crônico
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Hematoma Epidural Espinal
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Hematoma Epidural Craniano
Limite:
Child
/
Humans
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Male
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article