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CC BY 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0045-1809620
Case Report

Is Surgery Advocated in M1 Extradural Hematoma, or Is It Not?—A Case Report

Chetan Kumar Agali
1   Ward No. 31, Vidya Nagar, 3rd Cross East, O.P.D. Ballari, Karnataka, India
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Abstract

Pediatric EDH (extradural hematoma) following trauma is a well-known surgical entity with early diagnosis and treatment reducing morbidity and mortality. It is custom not to suggest surgery for a patient with traumatic EDH with a Glasgow Coma Scale (GCS) of E1M1Vt, with no cough or gauge reflux. Case history: a 5-year-old school-going girl presented with posttraumatic temporo-parietal EDH with GCS of E1M1Vt with fixed dilated right pupil. The patient denied surgery due to poor recovery and a high rate of morbidity and mortality. Hospital course: with the patient being young and just a ray of hope, surgery was performed. To a surprise, she completely recovered and was discharged with residual weakness in her left upper and lower limbs and was able to return to her daily work/school. At follow-up, she was able to perform all the daily routine work with residual weakness and required help from others to perform complex tasks. This rare case is being reported because the patient improved from M1 to M6 and returned to school, which was a rare event, and many had lost hope; even literature is scarce to justify this approach.

Keywords

complete recovery - computed tomography scan - extradural hematoma - residual weakness

Authors' Contribution

C.K.A. named the title, designed the study, provided critical reagents, and wrote the manuscript.


Patients' Consent

Informed consent for publication was obtained from the patient in this study.




Publication History

Article published online:
13 June 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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