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@article{1824578,
author = {Musilová, Barbora and Brichtová, Eva and Valeková, Hana},
article_location = {PRAGUE},
article_number = {3},
doi = {http://dx.doi.org/10.48095/cccsnn2021269},
keywords = {epidural hematoma; traumatic brain injury; conservative therapy; surgical therapy},
language = {eng},
issn = {1210-7859},
journal = {Česká a slovenská neurologie a neurochirurgie},
title = {Age-dependent specifics of epidural hematoma},
url = {https://www.csnn.eu/casopisy/ceska-slovenska-neurologie/2021-3-10/specifika-epiduralniho-hematomu-v-zavislosti-na-veku-127779},
volume = {84},
year = {2021}
}
TY - JOUR
ID - 1824578
AU - Musilová, Barbora - Brichtová, Eva - Valeková, Hana
PY - 2021
TI - Age-dependent specifics of epidural hematoma
JF - Česká a slovenská neurologie a neurochirurgie
VL - 84
IS - 3
SP - 269-273
EP - 269-273
PB - CZECH MEDICAL SOC
SN - 12107859
KW - epidural hematoma
KW - traumatic brain injury
KW - conservative therapy
KW - surgical therapy
UR - https://www.csnn.eu/casopisy/ceska-slovenska-neurologie/2021-3-10/specifika-epiduralniho-hematomu-v-zavislosti-na-veku-127779
N2 - Aim: Epidural hematoma (EDH) is a potentially life-threatening condition that belongs to the complex of traumatic brain injuries. The management of EDH requires early diagnosis with optimal treatment to prevent subsequent neurological impairment. In adults, the clinical course generally corresponds to the extent of an intracranial lesion. However, in pediatric patients, EDH represents a diagnostic challenge due to the different features of this entity. Therefore, the therapeutic approach should be based on the patient‘s clinical status and individual requirements. The aim of this study was to describe and highlight the different aspects of EDH in the various age groups. We also present a cohort study from our hospital. Materials and methods: Adult and pediatric patients admitted to the hospital between 2009 and 2019 with developed EDH were retrospectively reviewed. All data including demographic information, mechanism of injury, characteristics of hematoma, associated brain pathologies, treatment, and duration of hospitalization were acquired and statistically analyzed. Results: Seventy-four adult and eighty pediatric patients were included. The mean age in the adult group was 42.4 years and 8.5 years in the pediatric group. The most common causes of EDH were falls of different etiologies. The majority of adult patients were managed surgically due to significant neurological deficits and other cranial pathologies. Pediatric patients were predominantly treated conservatively. Surprisingly, the difference regarding the type of therapy was not as significant in the pediatric group as we assumed. Conclusion: We described specific features of EDH in adult and pediatric patients with emphasis on clinical and radiological differences. In children, the indolent course is often described, despite the presence of significant EDH. Early diagnosis, optimal choice of therapy, and individual approach can prevent the development of neurological deficits.
ER -
MUSILOVÁ, Barbora, Eva BRICHTOVÁ and Hana VALEKOVÁ. Age-dependent specifics of epidural hematoma. \textit{Česká a slovenská neurologie a neurochirurgie}. PRAGUE: CZECH MEDICAL SOC, 2021, vol.~84, No~3, p.~269-273. ISSN~1210-7859. Available from: https://dx.doi.org/10.48095/cccsnn2021269.
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