Background: Extra Dural hematoma (EDH) is a blood clot that develops between the dura mater and the skull, found in 2.5% to 5% of head injured patients. Patient with small EDH may be treated conservatively through close observation is advised, yet sudden neurological deterioration may occur.
Objective: To review the literature and to evaluate safety and efficacy of conservative management of extradural hematoma (EDH) in trauma patients with selected criteria.
Patients and methods: This was a hospital based study which was done at the Department of neurosurgery at Al-Azhar University Hospitals and Luxor International Hospital during the period from September 2017 to September 2019. It was conducted on 15 patients with extradural hemorrhage who fulfilling the criteria (volume<30ml, thickness8), with exclusion of patients with extradural hematoma who needs surgical evacuation, patients with bleeding tendency and patients with temporal or occipital extradural hematoma. All cases records were reviewed and the pertinent data (clinical history, age, sex, mode of injury) analyzed.
     The patients were subjected to conservative treatment through Neurosurgery ICU admission and follow up CT Brain done at 6 hours, 12 hours, 24 hours and 48 hour after admission. Patients were given Analgesics, Antibiotics and Anti epleptics if needed .All patients stayed at ICU for 3 days until they had good conscious level then transferred to Neurosurgery ward for one day then discharged to home. Final CT Brain was done for all patients before discharge to ensure resolution of hemorrhage. Follow up of Patients continued for one month after discharge at clinic.
Results: In our study of 15 patients, the conservative management of extradural hematoma continued in all patients (100%). This means that conservative management increased, and the mentioned protocol of conservative management gives successful results in the treatment of EDH.
Conclusion: The conservative management gives successful results so we can avoid surgical evacuation in patients with selected criteria.