Abstract
One hundred and two paediatric cases of extradural haemorrhage (EDH) were treated in Adelaide, South Australia, during the period 1954–1988; 10 were infants (0–2 years) and 92 were children (2–14 years). There were 9 deaths (mortality 8.8%). Long-term disabilities severe enough to interfere with school and/or employment were seen in 8 (7.8%) survivors. This relatively low number of adverse outcomes is partly an expression of a low incidence (5.9%) of associated intradural haematomas and few high-velocity impacts due to vehicular accidents. There is reason to believe that the results of treatment have improved in the decade 1977–1988. We attribute this in part to early diagnosis by computed tomography (CT), but a contributory factor may be earlier referrals from country centres to a paediatric trauma centre and rapid transfer, by air or road, by medical retrieval teams.
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References
Bricolo AP, Pasut LM (1984) Extradural hematoma: toward zero mortality. Neurosurgery 14:8–12
Choux M (1986) Extracerebral hematomas in children. In: McLaurin RL (ed) Advances in neurotraumatology, vol 1. Springer, Wien New York, pp 173–208
Choux M, Grisoli F, Peragut JC (1975) Extradural hematomas in children. 104 cases. Child's Brain 1:337–347
Dan NG, Berry G, Kwok B, Mandryk JA, Ring IT, Sewell MF, Simpson DA (1986) Experience with extradural haematomas in New South Wales. Aust NZ J Surg 56:535–541
Dhellemmes P, Lejeune J-P, Christaens J-L, Combelles G (1985) Traumatic extradural hematomas in infancy and childhood. J Neurosurg 62:861–864
Dorsch MM, Woodward AJ, Somers RL (1987) Do bicycle safety helmets reduce severity of injury in real crashes? Accid Anal Prev 19:183–190
Gilligan JE, McCleave D, Nicholson B, Lafsky P, Jacquier D, Fuller W, Allen TH, Phillips G, Butler L, Stableford V (1977) Retrieval of the critically ill in South Australia: a coordinated approach. Med J Aust 2:849–855
Guitierrez FA, McLone DG, Raimondi AJ (1981) Epidural hematomas in infancy and childhood. In: American Society for Pediatric Neurosurgery (ed) Concepts in pediatric neurosurgery, vol 1. Karger, Basel, pp 188–201
Hawkes CD, Ogle WS (1962) Atypical features of epidural hematoma in infants, children and adolescents. J Neurosurg 19:971–980
Hooper R (1959) Observations on extradural haemorrhage. Br J Surg 47:71–87
Jamieson KG (1970) Extradural and subdural haematomas. Changing patterns and requirements of treatment in Australia. J Neurosurg 33:632–635
Jamieson KG (1976) Epidural haematoma. In: Vinken PJ, Bruyn GW (eds) Handbook of clinical neurology, vol 24, part II. Elsevier, New York, pp 261–274
Jamieson KG, Yelland JDN (1968) Extradural hematoma. Report of 167 cases. J Neurosurg 29:13–23
Jennett B (1989) Severe head injuries—Swedish style. Brain Injury 3:215–217
Jennett B, Bond MR (1975) Assessment of outcome after severe brain damage. Lancet I:480–484
Matson DD (1969) Neurosurgery of infancy and childhood, 2nd edn. Thomas, Springfield, Ill
Mazza C, Pasqualin A, Ferriotti G, Da Pian R (1982) Traumatic extradural hematomas in children: experience with 62 cases. Acta Neurochir (Wien) 65:67–80
Mendelow AD, Karmi MZ, Paul KS, Fuller GAG, Gillingham FJ (1979) Extradural haematoma: effect of delayed treatment. Br Med J 1:1240–1242
Milza PG, nardi PV, Gigli R, La Motta A (1989) Epidural hematomas in infancy and childhood: report on 176 cases. J Pediatr Neurosci 5:117–122
Nordstrom C-H, Messeter K, Sundbarg G, Wahlander S (1989) Severe traumatic brain lesions in Sweden. I. Aspects of management in non-neurosurgical clinics. Brain Injury 3:247–265
Oatey PE, Dinning TAR, Simpson DA (1983) Extradural haematoma in children. Primary and secondary lucid intervals. Med J Aust 2:176–180
Oka H, Kako M, Matsushima M, Ando K (1977) Traumatic spreading depression syndrome. Report of a particular kind of head injury in 37 patients. Brain 100:287–298
Pang D, Horton JA, Herron JM, Wilberger JE, Vries JK (1983) Non surgical management of extradural hematomas in children. J Neurosurg 59:958–971
Reilly PL, Simpson DA, Sprod R, Thomas L (1988) Assessing the conscious level in infants and young children: a paediatric version of the Glasgow Coma Scale. Child's Nerv Syst 4:30–33
Sharples PM, Storey A, Aynsley-Green A, Eyre JA (1990) Avoidable factors contributing to death of children with head injury. Br Med J 300:87–89
Simpson D, North B, Gilligan J, McLean J, Woodward A, Antonio J, Altree P (1984) Neurological injuries in South Australia: the influence of distance on management and outcome. Aust NZ J Surg 54:29–53
Simpson DA, Heyworth JS, McLean AJ, Gilligan JE, North JB (1988) Extradural haemorrhage: strategies for management in remote places. Injury 19:307–312
Yue CP, Mann KS, Ong GB (1983) Analysis of mortality of extradural haematoma in a general surgical unit. Aust NZ J Surg 53:85–88
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The substance of this paper was presented to the 12th Congress of the European Society for Paediatric Neurosurgery, Warsaw 1990
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Molloy, C.J., McCaul, K.A., McLean, A.J. et al. Extradural haemorrhage in infancy and childhood. Child's Nerv Syst 6, 383–387 (1990). https://doi.org/10.1007/BF00302223
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DOI: https://doi.org/10.1007/BF00302223