Acta Neurochirurgica

, Volume 120, Issue 1–2, pp 47–52 | Cite as

Conservative management of extradural haematomas

  • B. Cucciniello
  • N. Martellotta
  • D. Nigro
  • E. Citro
Clinical Articles


The personal experiences with a series of 57 conservatively treated extradural haematomas (EDH) are presented and the criteria for conservative management outlined. Main preconditions are absence of neurological deficit, close clinical supervision and repeated CT check-ups.


Head injury extradural haematoma computerized tomography spontaneous resolution 


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  1. 1.
    Aoki N (1988) Rapid resolution of acute epidural hematoma. Report of two cases. J Neurosurg 68: 149–151PubMedGoogle Scholar
  2. 2.
    Benmoussa H, Mouhoub F, Tamehmacht M, Rifi L, Bellakhdar F. (1992) Hématome extra-dural non opéré. A propos de 3 observations. Neurochirurgie 38: 42–45PubMedGoogle Scholar
  3. 3.
    Bricolo AP, Pasut LM (1984) Extradural hematoma: toward zero mortality. A prospective study. Neurosurgery 14: 8–11PubMedGoogle Scholar
  4. 4.
    Bullock R, Smith RM, Van Dellen (1985) Nonoperative management of extradural hematoma. Neurosurgery 16: 602–606PubMedGoogle Scholar
  5. 5.
    Cordobés F, Lobato RD, Amor Tet al (1980) Epidural hematoma of the posterior fossa with delayed operation. Report of a “chronic” case. Acta Neurochir (Wien) 53: 275–281Google Scholar
  6. 6.
    Cordobès F, Lobato RD, Rivas JJ, Munoz MJ, Chillon D, Portillo JM, Lamas E (1981) Observations of 82 patients with extradural hematoma. Comparison of results before and after the advent of computerized tomography. J Neurosurg 54: 179–186PubMedGoogle Scholar
  7. 7.
    de Vries J, Wattendorff AR, Hekster REM (1981) Chronic epidural haematoma with partial rim enhancement. A case report. Neuroradiology 22: 167–168PubMedGoogle Scholar
  8. 8.
    Ericson K, Hakansson S (1981) Computed tomography of epidural hematomas. Association with intracranial lesions and clinical correlation. Acta Radiol 22: 513–519Google Scholar
  9. 9.
    Guillermain P (1986) Traumatic extradural hematomas. In: Vigouroux RP (eds) Advances in neurotraumatology, Vol 1. Springer, Wien New York, pp 1–38Google Scholar
  10. 10.
    Illingworth R, Shawdon H (1983) Conservative management of intracranial extradural haematoma presenting late. J Neurol Neurosurg Psychiatry 46: 558–560PubMedGoogle Scholar
  11. 11.
    Jackson JJ, Speakman TJ (1950) Chronic extradural hematoma. J Neurosurg 7: 444–447PubMedGoogle Scholar
  12. 12.
    Jennett B, Teasdale G (1981) Intracranial hematoma. In: Jennett B (eds) Management of head injuries. Davis, Philadelphia, pp 153–191Google Scholar
  13. 13.
    Knuckey NW, Gelbard S, Epstein MH (1989) The management of “asymptomatic” epidural hematomas. J Neurosurg 70: 392–396PubMedGoogle Scholar
  14. 14.
    Leclercq TA, Rozycki T (1979) Chronic, calcified epidural hematoma in a child. RI Med J 62: 97–99Google Scholar
  15. 15.
    Lindenberg R (1977) Pathology of craniocerebral injuries. In: Newton TH, Potts DG (eds) Radiology of the skull and brain, Vol 3. Mosby, St Louis, pp 3049–3087Google Scholar
  16. 16.
    Mc Laurin RL, Ford LE (1964) Extradural hematoma. Statistical survey of 47 cases. J Neurosurg 21: 364–371PubMedGoogle Scholar
  17. 17.
    Mendelow AD, Karmi MZ, Paul KS, Fuller GAG, Gillingham FJ (1979) Extradural haematoma: effect of delayed treatment. Br Med J 1: 1240–1242PubMedGoogle Scholar
  18. 18.
    Mendelow AD, Teasdale G, Jennett B, Bryden J, Hessett C, Murray G (1983) Risks of intracranial haematoma in head injured adults. Br Med J 287: 1173–1176Google Scholar
  19. 19.
    Miller JD (1986) Minor, moderate and severe head injury. Neurosurg Rev 9: 135–139CrossRefPubMedGoogle Scholar
  20. 20.
    Morley JB, Langford KH (1970) Abnormal brain scan with subacute extradural haematomas. J Neurol Neurosurg Psychiatry 33: 679–686PubMedGoogle Scholar
  21. 21.
    Pagni CA (1968) L'ematoma extradurale. Risultati del trattamento chirurgico di una serie di 127 casi. Quattrocchi, Milano, pp 1–79Google Scholar
  22. 22.
    Pang D, Horton JA, Herron JM, Wilberger JE, Vries JK (1983) Nonsurgical management of extradural hematomas in children. J Neurosurg 59: 958–971PubMedGoogle Scholar
  23. 23.
    Pozzati E, Tognetti F (1984) Spontaneous healing of extradural hematomas: report of four cases. Neurosurgery 14: 724–727PubMedGoogle Scholar
  24. 24.
    Pozzati E, Tognetti F (1986) Spontaneously healing of acute extradural hematomas: study of twenty-two cases. Neurosurgery 18: 696–700PubMedGoogle Scholar
  25. 25.
    Servadei F, Ciucci G, Pagano F, Robucci GG, Ariano M, Piazza G, Gaist G (1988) Skull fracture as a risk factor of intracranial complications in minor head injuries. J Neurol Neurosurg Psychiatry 51: 526–528PubMedGoogle Scholar
  26. 26.
    Servadei F, Faccani G, Roccella P, Seracchioli A, Godano U, Ghardirpour R, Naddeo M, Piazza G, Carried P, Taggi F, Pagni CA (1989) Asymptomatic extradural haematomas. Results of a multicenter study of 158 cases in minor head injury. Acta Neurochir (Wien) 96: 39–45CrossRefGoogle Scholar
  27. 27.
    Tapiero B, Richer E, Laurent F, Guibert-Tranier F, Caillé JM (1984) Hematomes extra-duraux post-traumatiques. J Neuroradiology 213–226Google Scholar
  28. 28.
    Teasdale G, Galbraith S (1979) Extradural haematoma: effect of delayed treatment. Br Med J 1: 1793Google Scholar
  29. 29.
    Teasdale G, Galbraith S, Murray L, Ward P, Gentleman D, McKean M (1982) Mangement of traumatic intracranial haematoma. Br Med J 285: 1695–1697Google Scholar
  30. 30.
    Tochio H, Waga S, Tashiro H, Takeuchi T, Miyazaki M (1984) Spontaneous resolution of chronic epidural hematomas: report of three cases. Neurosurgery 15: 96–100PubMedGoogle Scholar
  31. 31.
    Trowbridge WV, Porter RW, French JD (1954) Chronic extradural hematomas. Arch Surg 69: 824–830Google Scholar
  32. 32.
    Weaver D, Pobereskin L, Jane JA (1981) Spontaneous resolution of epidural hematomas. Report of two cases. J Neurosurg 54: 248–251PubMedGoogle Scholar
  33. 33.
    Zander E, Campiche R (1974) Extra-dural hematoma. In: Krayenbuhl H (eds) Advances and technical standards in neurosurgery, Vol 1. Springer, Wien New York, pp 121–139Google Scholar
  34. 34.
    Zimmerman RA, Bilianuk LT (1982) Computed tomographic staging of traumatic epidural bleeding. Radiology 144: 809–812.PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • B. Cucciniello
    • 1
  • N. Martellotta
    • 1
  • D. Nigro
    • 1
  • E. Citro
    • 1
  1. 1.Department of NeurosurgerySan Carlo Basilicata General HospitalPotenzaItaly

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