{"id":"ae94421e-ddbd-44fe-92f2-a4f4baf1f1a6","slug":"clinical-operative-and-outcome-analysis-of-giant-extradural-hematoma-a-retrospective-study-in-tertiary-care-center","title":"Clinical, operative, and outcome analysis of giant extradural hematoma: A retrospective study in tertiary care center","authors":["Rahul Singh","Anurag Sahu","Kulwant Singh","Ravi Shankar Prasad","Nityanand Pandey"],"abstract":"Background: This study is aimed to find a critical volume of operated giant or massive extradural hematoma (EDH) that affects outcome significantly and analyze them with respect to their clinical, surgical, and outcome perspective. Methods: This retrospective study includes 253 patients operated for EDH in emergency in the Department of Neurosurgery of IMS BHU, Varanasi, India, a tertiary care center, between August 1, 2018, and November 1, 2019. Giant EDH critical volume was evaluated. Twenty-nine patients with giant EDH with clot volume ≥ 80 ml were further analyzed for clinical, surgical, and outcome predictive factors. Statistical analysis was done using Prism GraphPad ver. 8.0.0. P value was taken at 0.05. Results: Dichotomized group analysis with Glasgow Outcome Score (GOS) 4–5 versus GOS 1–3 for testing clot volume revealed significance difference with P 80 ml for further analysis. The most common age group was 20–40 (55.17%). M2 (31.03%) was the most common best motor response in operated giant EDH cases. Most of them were having severe (79.31%) head injury. Glasgow Coma Scale (GCS) at admission (P P = 0.0032), and best motor response (P P < 0.05) associated with outcome following surgery for giant EDH. Conclusion: Giant EDH with volume ≥ 80 ml is associated with poorer outcome. GCS at admission, pupillary changes, and best motor response is predictors for surgical outcome of giant EDH.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/ae94421e-ddbd-44fe-92f2-a4f4baf1f1a6/featured/hero-1781563248568.png","publishDate":"2020-08-08T00:00:00.000Z","doi":"10.25259/SNI_128_2020","categories":["Trauma","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/ae94421e-ddbd-44fe-92f2-a4f4baf1f1a6/pdf"}