Aust N Z J Surg. 1971 Nov;38(2):104-107. doi: 10.1111/j.1445-2197.1971.tb05179.x.
The Australian and New Zealand journal of surgery
Darrel F Weinman, Brinda Muttukumaru
PMID: 29265224 DOI: 10.1111/j.1445-2197.1971.tb05179.x
The mortality in a series of 155 extradural haematomas was 20%. The unavoidable mortality due to coexistent severe cerebral damage was only 5.1%. Delayed diagnosis, due to one of several factors, was the commonest cause of the avoidable deaths. A reliance on burr holes as a means of excluding an extradural haemorrhage, the failure to detect the presence of coexisting space-occupying lesions, misguided lumbar punctures and postoperative complications contributed in a lesser degree to the high avoidable mortality. This analysis suggests a pattern of treatment for head injuries in general and extradural haematomas in particular.