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Epidural Hematoma: The Outcome of Glucocorticoids’ Complementary Use to Surgical Treatment

Background: The use of glucocorticoids in trauma patients with parenchymal damage is deemed unnecessary and is not advocated. Notwithstanding, acute epidural hematomas (aEH) are extra-parenchymal lesions, so the patients could benefit from the use of glucocorticoids. Methodology/Results: 97 patients...

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Autores principales: Kourouklari, Ekaterini, Charalambous, Demetris, Faropoulos, Konstantinos, Fotakopoulos, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958032/
https://www.ncbi.nlm.nih.gov/pubmed/35371733
http://dx.doi.org/10.7759/cureus.22607
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author Kourouklari, Ekaterini
Charalambous, Demetris
Faropoulos, Konstantinos
Fotakopoulos, George
author_facet Kourouklari, Ekaterini
Charalambous, Demetris
Faropoulos, Konstantinos
Fotakopoulos, George
author_sort Kourouklari, Ekaterini
collection PubMed
description Background: The use of glucocorticoids in trauma patients with parenchymal damage is deemed unnecessary and is not advocated. Notwithstanding, acute epidural hematomas (aEH) are extra-parenchymal lesions, so the patients could benefit from the use of glucocorticoids. Methodology/Results: 97 patients with acute epidural hematoma were separated into two groups, whether they received glucocorticoid treatment or not. Depending on the severity of the deficit and their clinical status, some of the patients were operated on and others not. The patients who received glucocorticoids had better neurological status upon discharge, while their hospitalization was shorter. Conclusions: The surgical management of the acute epidural hematomas in combination with glucocorticoid treatment had the best outcome in our protocol.
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spelling pubmed-89580322022-03-31 Epidural Hematoma: The Outcome of Glucocorticoids’ Complementary Use to Surgical Treatment Kourouklari, Ekaterini Charalambous, Demetris Faropoulos, Konstantinos Fotakopoulos, George Cureus Neurosurgery Background: The use of glucocorticoids in trauma patients with parenchymal damage is deemed unnecessary and is not advocated. Notwithstanding, acute epidural hematomas (aEH) are extra-parenchymal lesions, so the patients could benefit from the use of glucocorticoids. Methodology/Results: 97 patients with acute epidural hematoma were separated into two groups, whether they received glucocorticoid treatment or not. Depending on the severity of the deficit and their clinical status, some of the patients were operated on and others not. The patients who received glucocorticoids had better neurological status upon discharge, while their hospitalization was shorter. Conclusions: The surgical management of the acute epidural hematomas in combination with glucocorticoid treatment had the best outcome in our protocol. Cureus 2022-02-25 /pmc/articles/PMC8958032/ /pubmed/35371733 http://dx.doi.org/10.7759/cureus.22607 Text en Copyright © 2022, Kourouklari et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurosurgery
Kourouklari, Ekaterini
Charalambous, Demetris
Faropoulos, Konstantinos
Fotakopoulos, George
Epidural Hematoma: The Outcome of Glucocorticoids’ Complementary Use to Surgical Treatment
title Epidural Hematoma: The Outcome of Glucocorticoids’ Complementary Use to Surgical Treatment
title_full Epidural Hematoma: The Outcome of Glucocorticoids’ Complementary Use to Surgical Treatment
title_fullStr Epidural Hematoma: The Outcome of Glucocorticoids’ Complementary Use to Surgical Treatment
title_full_unstemmed Epidural Hematoma: The Outcome of Glucocorticoids’ Complementary Use to Surgical Treatment
title_short Epidural Hematoma: The Outcome of Glucocorticoids’ Complementary Use to Surgical Treatment
title_sort epidural hematoma: the outcome of glucocorticoids’ complementary use to surgical treatment
topic Neurosurgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958032/
https://www.ncbi.nlm.nih.gov/pubmed/35371733
http://dx.doi.org/10.7759/cureus.22607
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