Observations on 82 patients with extradural hematoma

Comparison of results before and after the advent of computerized tomography

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  • 1 Department of Neurosurgery, Ciudad Sanitaria “1°- de Octubre” and Faculty of Medicine, Madrid, Spain
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✓ A consecutive, unselected series of 82 patients with epidural hematoma treated between 1973 and 1980 is presented. Forty-one patients were managed before the advent of computerized tomography (CT) and the other 41 after this neuroradiological method was available. Mortality and disability rates which were 29.2% and 31.7% during the pre-CT period decreased to 12.1% and 19.5%, respectively, with the aid of CT scanning. This technique allowed a more rapid and accurate diagnosis of the hematomas than angiography, and defined better the presence and the evolutional changes of the associated cerebral lesions. As a consequence, surgery has been more effectively planned and executed during the CT era.

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Contributor Notes

Address reprint requests to: Francisco Cordobés, M.D., Department of Neurosurgery, Ministerio de Trabajo, Instituto Nacional de Prevision, Ciudad Sanitaria de la S.S., “1°- de Octubre,” Ctra. de Andalucia, Km. 5,400, Madrid, Spain.
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