Role of Non Operative Management of Extradural Hematoma and Reasons for Conversion in Patients Admitted in Tertiary Care Hospital in Bihar

Background: A patient with traumatic extradural hematoma may be managed conservatively, but constant monitoring is recommended because neurological impairment might progress suddenly. Aim: The goal of our research was to look into the role of conservative management in traumatic extradural hematoma as well as the various reasons for conversion in patients admitted in tertiary care hospital in Bihar. Methods and Materials: Patients with EDH were divided into two groups. Group-A: those who needed the hematoma surgically removed right away. Group B was subdivided into two subgroups: B1- Individuals who were given conservative treatment. B2 - Individuals who responded well to conservative treatment despite the presence of EDH on its first CT scan and who required surgery during conservative management due to various reasons like neurodeterioration. Complete evaluations were carried out for other factors for conversion of non surgical management into surgical management. Results: In this study a total of 120 patients were evaluated. 31 patients were managed by surgery. 69 patients were managed conservatively. 20 patients were there in which conversion from conservative management to surgical management took place