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Role of routine post-operative CT brain following evacuation of extradural haematoma in children: a single-centre experience.
Child's Nervous System ( IF 1.4 ) Pub Date : 2020-05-16 , DOI: 10.1007/s00381-020-04664-w
Michael Amoo 1, 2 , Roisin M O'Cearbhaill 3 , John Caird 1, 2 , Sarah Power 3 , Darach Crimmins 1, 2
Affiliation  

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.

中文翻译:

儿童硬膜外血肿清除后常规术后CT脑的作用:单中心经验。

目的硬膜外血肿(EDH)是儿童的一种严重的神经外科急症,具有较高的发病率和死亡率。这项研究的目的是回顾性评估术后9个月(2008年1月至2016年12月)在全国小儿神经外科手术治疗的EDH儿童的影像学作用。方法回顾性分析2008年1月至2016年12月接受硬膜外血肿手术切除的小儿患者。这包括人口统计学和临床​​细节,术后影像学指征和预后。结果在此期间接受EDH手术治疗的患者有70例,其中男性占优势(69%),平均年龄为8岁。该队列中血肿最常见的位置是在顶叶区域(n = 24),平均最大厚度为25.9 mm,平均体积为57 ml。84%的患者进行了术后影像学检查。但是,只有一名患者由于术后影像学发现而在术后处理过程中发生了变化。结论因此,常规检查可避免无症状小儿EDH撤离后的术后影像学检查。
更新日期:2020-05-16
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