Abstract
Purpose
Extradural haematoma (EDH) is a serious neurosurgical emergency in children, which confers significant morbidity and mortality rates. The objective of this study was to retrospectively evaluate the role of post-operative imaging in children with EDH who were managed surgically in a national paediatric neurosurgical unit over a 9-year period (January 2008 to December 2016).
Methods
A retrospective case review of paediatric patients who underwent surgical evacuation of extradural haematoma between January 2008 and December 2016 was performed. This included demographic and clinical details, indications for post-operative imaging and outcomes.
Results
Seventy patients underwent surgical management of EDH during this time period, with a male preponderance (69%) and a mean age of 8 years. The commonest location of haematoma in this cohort was in the parietal region (n = 24), with a mean maximum thickness of 25.9 mm and mean volume of 57 ml. Post-operative imaging was performed in 84% of patients. However, only one patient had a change in the course of their post-operative management as a result of post-operative imaging findings.
Conclusions
Post-operative imaging in asymptomatic paediatric patients after evacuation of EDH could therefore be avoided as a routine investigation.
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Under the General Data Protection Regulations (GDPR), to maintain the anonymity of patients whose records were reviewed for the purpose of this study, raw data is unavailable. Irrevocably anonymised data is available.
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This retrospective medical record review was approved by our institution’s clinical governance and audit departments (Registration no: CA686).
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Amoo, M., O’Cearbhaill, R.M., Caird, J. et al. Role of routine post-operative CT brain following evacuation of extradural haematoma in children: a single-centre experience. Childs Nerv Syst 36, 3095–3098 (2020). https://doi.org/10.1007/s00381-020-04664-w
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DOI: https://doi.org/10.1007/s00381-020-04664-w