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Corresponding Author

Mohamed Abd ELraouf Zoair

Document Type

Original Article

Abstract

Background: Hemorrhage into the possible area between the dura and the arachnoid membranes results in the formation of a subdural hematoma (SDH).

Aim: To study and evaluate a retrospective and prospective identification and treatment of subdural hematoma in children, either traumatic or non-traumatic, at Alazhar Hospitals, Aldoaah Hospital, and Shibin Elkom Teaching Hospital.

Patients and methods: This descriptive prospective and retrospective study was conducted on 20 children who attended the emergency ward with subdural hematoma with radiological findings either traumatic or non-traumatic in the neurosurgery department, Al-Azhar University Hospitals, Shebin EL Kom Teaching Hospital, Shebin EL Kom, and Aldoaah hospital, Cairo, Egypt for a period of four years beginning in 2018.

Results: The management was surgical in 12 patients (60%) and conservative in 8 patients (40%), while time to surgery "hrs." was ≤4 hrs in 6 patients (50%) and was >4 hrs in 6 patients (50%). A statistically substantial greater frequency of midline shift was found in the surgical group compared to the conservative group (p=0.005). There was a statistically substantial greater median value of the Glasgow coma scale (GCS) in postoperative was 15.0(4.0 – 15.0) compared to preoperative 6.0(6.0 – 9.0), with p-value (p=0.036).

Conclusion: SDH in children is an uncommon but dangerous illness. If the right therapy is chosen, the majority of patients may get acceptable care even when their prognosis is poor. For the evacuation of traumatic SDH, craniotomy or decompressive craniectomy may be performed in instances of large acute SDH that are linked to increased intracranial pressure (ICP) and midline displacement.

Keywords

SDH, GCS, Craniotomy

Subject Area

Neurosurgery

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