›› 2012, Vol. 32 ›› Issue (8): 1075-.doi: 10.3969/j.issn.1674-8115.2012.08.024

• Original article (Clinical research) • Previous Articles     Next Articles

Minimally-invasive surgical treatment of 58 patients with epidural hematoma straddling transverse sinus

LU Zhao-feng1, QIU Yong-ming2, CHENG Xiao-bing1, MENG Xiao-feng1   

  1. 1.Department of Neurosurgery, the First Affiliated Hospital of Henan University of Science and Technology, Luo yang471001, China；2.Department of Neurosurgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200001, China
  • Online:2012-08-28 Published:2012-08-29

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Abstract:

Objective To investigate the therapeutic effect of minimally-invasive drainage on epidural hematoma straddling transverse sinus. Methods Fifty-eight patients with traumatic epidural hematoma straddling transverse sinus and preoperative Glasgow Coma Score (GCS) 8 to 12 points were managed with minimally-invasive drainage under CT location, and 50 000 to 60 000 IU of urokinase was used for irrigation and drainage. CT scanning was performed 1 h, 3 d and 7 d after operation, volumes of hematoma were calculated, and Glasgow Outcome Score (GOS) was evaluated 3 months after operation. Results The volumes of hematoma 1 h and 3 d after operation were (20±5) mL and (15±2) mL respectively, and were significantly lower than that before operation [(45±15) mL](P＜0.05). The hematoma was totally removed 3 to 5 d after operation. GCS was (12±1) points 5 d after operation, which was significantly higher than that before operation [(8±4) points](P＜0.05). Three months after operation, good recovery (GOS 5 points) was achieved in 45 patients (78%), and moderate disability (GOS 4 points) was found in 9 patients (16%). Conclusion Minimally-invasive drainage is effective in the treatment of traumatic epidural hematoma straddling transverse sinus with GCS≥8 points.

Key words: epidural hematoma straddling transverse sinus, minimally invasive drainage, Glasgow Coma Score