Analysis of Cases of Giant Epidural Hemorrhage Evacuated in a Rural Hospital

We assessed surgical cases with giant epidural hemorrhages that have a significant influence on therapeutic as well as clinical prognosis.

Methods and Materials/Patients:

 A total of 112 cases underwent surgery for epidural hemorrhage in an Emergency Neurosurgical Department of the Uttar Pradesh University of Medical Sciences, Saifai, Etawah, India (a rural hospital), between January 1, 2022, and March 31, 2023. We defined giant epidural hemorrhage as a quantity of more than 80 cc. The therapeutic and prognostic features of 15 people with giant epidural hemorrhage with a hematoma volume of 80 cc were studied further.

The most prevalent age group was between 20 and 40 years (53.33%). M2 response (60%) represented the most frequent motor movement among giant epidural hemorrhage victims who underwent surgery. The majority of them (86.66%) suffered from serious brain damage. The Glasgow Coma Scale (GCS) score on admission, pupil alterations, and motor movement were all associated with the prognosis of giant epidural hemorrhage surgery.

Giant epidural hemorrhage > 80 cc performs badly. The GCS on admission, pupil alterations, and motor movement are all markers of the operative prognosis of a large epidural hemorrhage.