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Child's Nervous System

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Open Access 21-12-2023 | Craniotomy | Research

Comparison of burr hole drainage and craniotomy for acute liquid epidural hematoma in pediatric patients

Authors: Haozhi Ma, Qunjian Cui, Bo Wang, Junfeng Chen, Zhixuan Wei

Published in: Child's Nervous System | Issue 5/2024

Abstract

Purpose

To compare the impact of burr hole drainage and craniotomy for acute liquid epidural hematoma (LEDH) in pediatric patients.

Methods

This retrospective study enrolled pediatric patients with LEDH who underwent surgery in the Affiliated Hospital of Nanyang Medical College, China, between October 2011 and December 2019. According to the surgical procedure, patients were divided into the craniotomy group and the burr hole drainage group.

Results

A total of 21 pediatric patients were enrolled (14 males, aged 7.19 ± 2.77 years), including 13 cases in the burr hole drainage group and 8 patients in the craniotomy group. The operation time and hospitalization period in the burr hole drainage group were 33.38 ± 6.99 min and 9.85 ± 1.07 days, respectively, which were significantly shorter than that in the craniotomy group (74.25 ± 9.68 min and 13.38 ± 1.71 days, respectively; all p < 0.05). The Glasgow Coma Scale (GCS) score after burr hole drainage was significantly improved than before (median: 15 vs 13, p < 0.05). No serious complications were observed in either group; one patient in the craniotomy group developed an infection at the incision point. All patients were conscious (GCS score was 15) at discharge.

Conclusion

Compared with craniotomy, burr hole drainage was associated with better clinical outcomes and early recovery in patients with LEDH.

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Title: Comparison of burr hole drainage and craniotomy for acute liquid epidural hematoma in pediatric patients
Authors: Haozhi Ma
Qunjian Cui
Bo Wang
Junfeng Chen
Zhixuan Wei
Publication date: 21-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Craniotomy
Hematoma
Epidural Hematoma
Published in: Child's Nervous System / Issue 5/2024
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-023-06258-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparison of burr hole drainage and craniotomy for acute liquid epidural hematoma in pediatric patients

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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