Neurological Surgery No Shinkei Geka Volume 20, Issue 9 (September 1992)

Long-term Prognosis of Nonoperative Acute Epidural Hematoma in Children Aritoshi SHIRASAKA 1,2 , Yoshikata SHINOHARA 1 , Takayuki KUWAHARA 1 , Kazuo SUMIYA 1 , Toshiaki NINCHOJI 2 , Kenichi UEMURA 2 1Department of Neurosurgery, Shida General Hospital of Fujieda 2Department of Neurosurgery, Hamamatsu University School of Medicine Keyword: Acute epidural hematoma , Children , Long-term prognosis , Nonoperative cases pp.955-958
Published Date 1992/9/10
  • Abstract
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Computed tomography (CT) scan has revealed that certain acute epidural hematomas (AEH) don't need op-erative therapies. But, it is difficult to determine especial-ly in childhood, whether AEH compressing the brain for a short-term would or would not effect the function of the central nervous system in the future. For this reason, the authors report the long-term prognosis of nonopera-tive AEH in children.

Twelve children suffering from AEH were transported to our clinic. On admission, they had no neurological de-ficits and CT scan revealed hematomas that had max-imum thickness of 5-19 mm without midline shift. With nonoperative therapy they were discharged and the hematornas disappeared within 3-12 weeks. After long-term follow-up (3-10 years), it was shown that they had no epileptic episodes, and no changes in their school study records. Also, the Yatabe-Guilford personality test revealed no abnormal data.

These data suggest that children can be cured who suffer from AEH with no neural deficits, and in whom the maximum thickness of the AEH is less than 20 mm, and in whom there is no midline shift in CT scan, can be cured without undergoing an operation, and will have a good long-term prognosis.

Copyright © 1992, Igaku-Shoin Ltd. All rights reserved.


Neurological Surgery 脳神経外科
20巻9号 (1992年9月)
電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院