Limitation of Surgical Treatment of Acute Epidural Hematoma

—An Evaluation based on CT Findings—

Abstract

In this study we examined the correlations between CT findings and prognosis in 24 cases with acute epidural hematoma. We found that the prognosis was closely correlated with the extent of cerebral contusion on the CT images. However, it was usually difficult to confirm cerebral contusion by preoperative CT conclusively.
On the other hand, obliteration or narrowing of cisterns on CT after surgery offered the important information, i. e. poor prognosis in patients.
We also discussed the limitation of surgical treatment based on these results.