Article

Conservative management of extradural haematomas: effects of skull fractures on resorption rate.

Department of Neurosurgery, School of Medicine, Akdeniz University, Antalya, Turkey.
Acta Neurochirurgica (impact factor: 1.52). 02/1997; 139(3):203-7.
Source: PubMed

ABSTRACT In conservative management of extradural haematomas (EDH), several mechanisms were described to explain the resorption of the haematoma. One of these was the transfer of the clot into the epicranial space through the skull fracture. In this study, the effects of skull fracture and associated intracranial lesions in the conservative management of EDH were investigated. Skull fracture and associated intracranial lesions were found in 71.11% and 51.1% of the patients, respectively. Resorption rate was calculated using an original formula and it was 0.548 +/- 0.227 in patients with skull fracture and 0.507 +/- 0.170 in patients with both skull fractures and additional intracranial lesions. These rates were found to be significantly higher than in the patients without fracture. In conclusion, in the patients with EDH planned to be managed conservatively, skull fracture and additional intracranial lesions must not be thought as risk factors, on the contrary, resorption of the clot might be earlier than in the others.

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Keywords

additional intracranial lesions
 
EDH
 
epicranial space
 
extradural haematomas
 
fracture
 
intracranial lesions
 
original formula
 
others
 
patients
 
rates
 
resorption
 
Resorption rate
 
risk factors
 
Skull fracture
 
skull fractures