Diagnosis and treatment of 125 cases with isolated traumatic epidural hematoma in children

Objective To explore both diagnosis and treatment of isolated traumatic epidural hematoma( ITEDH ) in children.Methods The clinical characteristics, image finding, treatment and prognosis of 125 pediatric patients with isolated traumatic epidural hematoma were analyzed retrospectively. Results The operations were performed for 110 cases, of them, 98 cases with ITEDH underwent surgical evacuation of the hematoma after admission; burr hole drainage in 12 patients. The rest patients were treated by conservative therapy .118 cases with ITEDH were cured (94.4%); vegetative state in one; 6 patients died in this group ( mortality 4.8%). Conclusion ITEDHs in children were diagnosed mainly by images of CT and MRI. Based on this data, the three different treatment methods (traumatic epidural hematoma elimination, burr hole drainage, conservative therapy) can be used in ITEDH.