FACTORS INFLUENCING THE OUTCOME IN SURGICALLY TREATED PATIENTS WITH TRAUMATIC ACUTE EXTRADURAL HEMATOMA

Abstract

Introduction Traumatic brain injury (TBI) remains a leading cause of morbidity and mortality worldwide, with extradural hematoma (EDH) representing a critical neurosurgical emergency that demands prompt diagnosis and timely intervention. Extradural hematomas, whether of arterial or venous origin, can cause rapid neurological deterioration due to mass effect and raised intracranial pressure. Despite advancements in neuroimaging and emergency management, predicting outcomes in surgically treated EDH patients continues to pose clinical challenges. The present study was designed to identify and analyze the factors that significantly affect outcomes in patients with traumatic acute extradural hematoma (AEDH) who underwent surgical evacuation.Aim of the workThe aim of this study is to identify factors influencing the outcome in surgically treated Patients with traumatic acute extradural hematoma.Patients and methodsThis prospective observational study was conducted at the Neurosurgery and Emergency Departments of Alexandria Main University Hospital and affiliated hospitals between 2023 and 2025. A total of 116 patients of all age groups, presenting with traumatic EDH and treated surgically, were Included. Patients with thin-rim AEDH not requiring surgery, those who arrived at the emergency room flaccid, or had significant polytrauma were excluded. The study employed detailed clinical, radiological, and operative data collection, followed by statistical analysis to identify prognostic indicators.