Atormac
brintellex
Neurology India
menu-bar5 Open access journal indexed with Index Medicus
  Users online: 2581  
 Home | Login 
About Editorial board Articlesmenu-bullet NSI Publicationsmenu-bullet Search Instructions Online Submission Subscribe Videos Etcetera Contact
  Navigate Here 
 »   Next article
 »   Previous article
 »   Table of Contents

 Resource Links
 »   Similar in PUBMED
 »  Search Pubmed for
 »  Search in Google Scholar for
 »Related articles
 »   Citation Manager
 »   Access Statistics
 »   Reader Comments
 »   Email Alert *
 »   Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed3556    
    Printed88    
    Emailed3    
    PDF Downloaded71    
    Comments [Add]    
    Cited by others 1    

Recommend this journal

 

 ORIGINAL ARTICLE
Year : 2013  |  Volume : 61  |  Issue : 2  |  Page : 111--116

Minimally-invasive aspiration and drainage for management of traumatic epidural hematoma straddling transverse sinus


1 Department of Neurosurgery, The 1st Affiliated Hospital of He'nan University of Science and Technology, Luoyang, China
2 Department of Neurosurgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China

Correspondence Address:
Zhaofeng Lu
Department of Neurosurgery, Hospital of He'nan University of Science and Technology, Luoyang 471001
China
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.111111

Rights and Permissions

Aims: To investigate the therapeutic effect of minimally-invasive aspiration and drainage in traumatic epidural hematoma straddling transverse sinus (TEHSTS). Materials and Methods: Fifty-eight patients (39 males and 19 females) with TEHSTS and initial admission Glasgow Coma Scale (GCS) score of 8-10 (mean = 9) were treated with minimally-invasive aspiration and drainage under computed tomography (CT) guidance. Urokinase was used for irrigation and drainage. Post-operatively CT scan was performed at 3 h, 3 days, and 5 days. The volume of hematoma was calculated, and Glasgow outcome scale (GOS) was evaluated 3 months after the operation. Results: The volume of hematoma at 3 h and 3 days post-operation (20 ± 5 ml and 15 ± 2 ml; respectively) were significantly lower than that of pre-operation (45 ± 10 ml; P < 0.05). The hematoma was totally evacuated on 3-5 days post-operation. The GCS was 12 ± 1 on the 5 th day after the operation, which was significantly higher than that of pre-operation (8 ± 1; P < 0.05). Three months after operation, 45 (77%) patients had good recovery (GOS: 5) and 9 (15%) patients had moderate disability (GOS: 4). Conclusions: Minimally-invasive aspiration and drainage could be potentially effective in the treatment of TEHSTS with GCS score of equal or greater than 8 points.






[FULL TEXT] [PDF]*


        
Print this article     Email this article

Online since 20th March '04
Published by Wolters Kluwer - Medknow