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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 1 No. 1 (2010)

Extradural Haematoma in Children: Surgical Experiences and Prospective Analysis of 138 Cases

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JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : January 2010
CONTENTSVolume 01Number 1January 2010
Editorial
Pediatric Surgery – Challenging Speciality in SAARC Region
Devendra K Gupta
03
Review Articles
Revival of Landing's Concept of Infantile Obstructive Cholangiopathy – A Plea to Hand Over the 2 Week Old Jaundiced Full Term Neonate to the Surgeon!
Shilpa Sharma, Devendra K Gupta
37
Postoperative Results Following Surgery for PUJO in Children
Prabudh Goel, Devendra K Gupta
53
Original Articles
Laparoscopically Assisted Anorectoplasty Using Perineal Ultrasonographic Guide
Akio Kubota
06
Laparoscopic Pyeloplasty - Our Early Experience
Gazi Mohammad Zakir Hossain, Mofizur Rahman, Rashedul Hasan
10
A Prospective Comparative Study of the Outcome of Double-Y Pyloromyotomy (Alayet's Pyloromyotomy) and Ramstedt's Pyloromyotomy for the Surgical Management of Infantile Hypertrophic Pyloric Stenosis
Md. Ansar Ali, Md. Sharifuzzaman, Md. Ashraf Ul Huq, Md. Mahbub-Ul Alam
15
Extradural Haematoma in Children: Surgical Experiences and Prospective Analysis of 138 Cases
Sharif Md. Noman Khaled Chowdhury, Abdul Hanif, K M Tarikul Islam, Ehsan Mahmud, Sk. Sader Hossain
19
Evaluation of the Outcome of IRPG 910 and Polypropylene in Terms of Cosmesis and Cost for Skin Closure in Cleft lip Surgery
Md. Akbar Hossain Bhuiyan, Shahanara Chowdhury, Shafiqul Hoque
25
Neonatal Surgery: Demand and Survival Both are Increasing: Eight Years Experience in Dhaka Medical College Hospital, Bangladesh
Abdul Hanif, Kaniz Hasina, Ahmed Zahid Hossain, S M Shamsul Huda, M Kamrul Hassan, Md. Mahbub-Ul Alam, AKM Zahid Hossain
30
Miscellaneous
Neonatal Surgery
Anette Jacobsen
65
Case Reports
Mayer-Rokitansky-Kuster-Hauser (MRKH) Syndrome – A Case Report
Md. Kabirul Islam, Md. Shah Alam, Abdul Hanif, Md. Kamrul Hasan, Mizanur Rahman
70
Endoscopic Removal of Vesical Calculus Through Suprapubic Route: A Case Report
Md. Akbar Hossain Bhuyian, Md. Ashraf Ul Huq, Mahfuzul Kabir, Shafquat Haider Chowdhury
74
Two Case Reports of Peutz Jegher's Syndrome
Abdul Hanif, Kaniz Hasina, Md. Kamrul Hassan, Shah Alam Talukder, Md. Kabirul Islam
77
Ambiguous Genitalia with Perineal Rhabdomyosarcoma: A Case Report
Tahmina Banu, Tanvir Kabir Chowdhury, Md. Mozammel Hoque
80
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ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • Sharif Md. Noman Khaled ChowdhuryAssistant Professor, Department of Neurosurgery, Dhaka Medical College, Dhaka
  • Abdul HanifAssistant Professor, Department of Pediatric Surgery, Dhaka Medical College, Dhaka
  • K M Tarikul IslamResident, Department of Neurosurgery, Dhaka Medical College, Dhaka
  • Ehsan MahmudProfessor, Department of Neurosurgery, Dhaka Medical College, Dhaka
  • Sk. Sader HossainProfessor & Head, Department of Neurosurgery, Dhaka Medical College, Dhaka

Keywords

extradural hematoma children

Abstract

Objective: The authors present their experiences in the management of extradural haematoma in children which involved an aggressive diagnostic approach, prompt surgical evacuation of the haematoma results in an excellent outcome. Subjects and methods: 138 consecutive patients with cranial extradural haematoma who underwent surgery in department of Neurosurgery from 1st January 2006 to 31st July 2009 were included in this prospective study. Each of the patients were evaluated in term of age, sex, mode of injury, localization of haematoma, clinical presentation, CT findings, operative measures and outcome. Results: Out of 138 cases 72.47 % were boys and 13.78 % were girls. The boys and girls ratio was 2.64: 1. Age ranges from 1.8 to 15 years with a mean age of 9.49 years. Most of the victims are in first half of second decade of life and closely followed by the 5-10 years age group. The most common mode of injury was fall 40.58 %, (n = 56) followed by Road traffic Accident (RTA) 31.89 %, (n = 44). The Most common clinical presentation was altered sensorium 59.43 %, (n = 82), followed by Headache / Vomiting 56.53 %, (n = 78). Conclusion: Extradural haematoma in children is a recognized and one of the most rewarding neurosurgical emergencies. It must be recognized and evacuate early to prevent potential mortality and morbidity. Many factors affect the outcome of extradural haematoma surgery. In addition to influence of presence cranial fractures, associated brain lesions and pre-operative neurological condition of patient, duration of time interval between onset of coma and surgical intervention, morbidity and mortality have also been shown to be affected by age with better prognosis in patients under 10 years of age.

Journal of Paediatric Surgeons of Bangladesh (2010) Vol. 1 (1): 19–24

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