{"id":"2fccb079-e050-4c60-be19-1d784b8162a9","slug":"postoperative-cerebral-infarction-after-evacuation-of-traumatic-epidural-hematoma-in-children-younger-than-two-years-single-center-experience","title":"Postoperative cerebral infarction after evacuation of traumatic epidural hematoma in children younger than two years: Single-center experience","authors":["Mohammed Fathy Adel Ali","Mohammad Elbaroody","Mohamed F. M. Alsawy","Ahmed El Fiki","Ehab El Refaee","Hesham A. Elshitany"],"abstract":"Background: Epidural hematoma (EDH) forms about 2–3% of all head injuries in the pediatric population. We evaluated clinical data and risk factors for postoperative infarction in children younger than 2 years presented with traumatic EDH. Methods: We retrospectively reviewed and analyzed the data of 28 children with traumatic EDH operated in our institute during a period of 26 months (from December 2016 to Febuary 2019). Results: Nineteen children were boys (68%) and nine were girls (32%), the mean age was 15 months (range from 5 to 24 months). Postoperative cerebral infarction was detected in seven cases (25%). Factors could be linked to postoperative cerebral: preoperative pediatric Glasgow Coma Scale (P = 0.036), neurological deficit on admission (P = 0.023), size of hematoma (P P = 0.004), midline shift (MLS) (P = 0.001), and basal cistern compression (P = 0.004). Conclusion: Traumatic EDH in young children represents a neurosurgical challenge that needs rapid surgical intervention for the best surgical outcome. Delay in the time of surgery for more than 6 h, large hematoma volume >100 ml3, MLS >10 mm, and basal cisterns compression will push the intracranial pressure to the point of decompensation and the resultant ischemic sequel occurs.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/2fccb079-e050-4c60-be19-1d784b8162a9/featured/hero-1781561442537.png","publishDate":"2022-04-15T00:00:00.000Z","doi":"10.25259/SNI_1247_2021","categories":["Trauma","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/2fccb079-e050-4c60-be19-1d784b8162a9/pdf"}