Extradural Hematoma in Pediatrics After Acute Head Injury: Surgical and Clinical Outcome

A Combined Retrospective and Prospective Study of Surgical and Clinical Outcomes in Pediatric Patients With Extradural Hematoma Following Acute Head Injury

Acute extradural hematoma (EDH) is a potentially life-threatening neurosurgical emergency in children, commonly resulting from traumatic head injury. Early diagnosis and timely surgical intervention are critical factors influencing neurological recovery and overall outcome. Despite advances in neuroimaging and surgical techniques, the clinical presentation, management strategies, and outcomes of pediatric EDH remain variable

Inclusion Criteria:

• Pediatric patients (<18 years of age).
• Patients with traumatic extradural (epidural) hematoma.
• Patients who underwent surgical evacuation of the extradural hematoma.

Exclusion Criteria:

• Patients with coagulopathy.
• Patients with autoimmune disorders.
• Patients with a previous operation for extradural hematoma.
• Patients with associated intracranial hematomas (e.g., subdural hematoma, subarachnoid hemorrhage, or brain contusion).
• Patients with panfacial fractures.
• Patients with significant general surgical, cardiothoracic, or orthopedic comorbidit.