![]() ![]() The incidence of chronic epidural hematomas after traumatic injuries has been reported to account for 9–32% of all epidural hematomas. Spinal chronic epidural hematomas are extremely rare and become clinically relevant when they affect the spinal cord and/or nerve roots, causing neurological symptoms. Its treatment was mostly surgical at both sites.Įpidural hematomas are common intracranial pathologies secondary to traumatic brain injuries and are associated with overlying skull fractures up to 85% of the time. ConclusionĬEDH was commonly related to trauma. Correlation and regression tests for publication bias assessment show no significant funnel plot asymmetry with high p value ( p = 0.8458 and p = 0.9596, respectively). ![]() Craniotomy and laminectomy constituted the most reported treatment option, respectively, at the intracranial and spinal level. The lesion was predominantly located in the temporal region at the intracranial level and lumbar region at the spinal level. CT scan constituted the main diagnosis tool. The mean delay between the trauma and the first symptoms was 13.32 ± 1.73 days in intracranial level and 16.38 ± 2.49 days in spinal level. The common cause found was trauma ( n = 279 77.72%) with 271 (97.1%) cases for the head and 8 (2.9%) cases for the spine. The average age of onset was 37.2 ± 4.83 years. Chronic epidural hematoma (CEDH) was more common at the intracranial level than spinal level (91.9% vs 8.1%). ResultsĪ total of 3009 studies were identified, of which 95 were included with 359 patients. The rank correlation test and the regression test, using the standard error of the observed outcomes as predictor, are used to check for funnel plot asymmetry. Pooled statistics were calculated using measures of central tendency and spread. Systematic searches of PubMed, Google Scholar, and ScienceDirect were performed from a database searching for all studies reporting chronic epidural hematoma. This study aimed to evaluate the epidemiology, clinical presentations, management, and outcomes of chronic epidural hematoma. If its acute form is well known, the chronic one remains less described. ![]() Epidural hematoma constitutes a common condition in neuro-traumatology. ![]()
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