Observations on 82 patients with extradural hematoma. Comparison of results before and after the advent of computerized tomography

J Neurosurg. 1981 Feb;54(2):179-86. doi: 10.3171/jns.1981.54.2.0179.


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.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Consciousness
  • Evaluation Studies as Topic
  • Hematoma, Epidural, Cranial / diagnostic imaging*
  • Hematoma, Epidural, Cranial / mortality
  • Hematoma, Epidural, Cranial / physiopathology
  • Hematoma, Epidural, Cranial / surgery
  • Humans
  • Infant
  • Intracranial Pressure
  • Middle Aged
  • Tomography, X-Ray Computed*