Neuroscience & Medicine, 2017, 8, 41-45 http://www.scirp.org/journal/nm ISSN Online: 2158-2947 ISSN Print: 2158-2912 DOI: 10.4236/nm.2017.83006 Sep. 28, 2017 41 Neuroscience & Medicine Outcomes of Evacuation Extradural Hematoma via Craniotomy under Local Anesthesia Moazzam Waheed Sheikh 1 , Ifrah Shahnawaz 1 , Muhammad Abdullah 1 , Omer Kamal 1 , Rabia Naheed 2 , Aisha Bushra 3 , Muhammad Nadeem 3* 1 University College of Medicine and Dentistry, University of Lahore, Lahore, Pakistan 2 Fatima Memorial Hospital, Lahore, Pakistan 3 University at Buffalo, Buffalo, NY, USA Abstract Background: The EDH occurs due to the accumulation of bleeding between the inner table of the skull and the outer layer of the dura mater. It is said to account for 1% - 3% of all head injured patients and 9% of those who are comatose. The only life-saving treatment of choice is evacuation of EDH via craniotomy. Methods: This was a prospective observational study, where 40 patients were in follow-up for determining the outcomes of evacuation via craniotomy. Results: Majority of the patients were young and males. The main outcome of the evacuation was favorable (recovered), but certain unfavora- ble outcomes were also accounted like mortality. Conclusion: The pre-surgery clinical findings like consciousness of patient were an important indicator for EDH evacuation outcome. In most of the cases, the outcome was favorable with progressive recovery. Keywords Evacuation, Extradural Hematoma, Mortality, Consciousness, Unfavorable Outcomes 1. Introduction Head injury is a crucial health problem. The mortality due to head injury ac- counts for 1% of all deaths whereas it is 15% among young-aged people [1] [2]. One of the vital head injuries is Extradural hematoma (EDH). It occurs due to the accumulation of bleeding between the inner table of the skull and the outer layer of the dura mater. EDH is said to account for 1% - 3% [3] [4] of all head How to cite this paper: Sheikh, M.W., Shahnawaz, I., Abdullah, M., Kamal, O., Naheed, R., Bushra, A. and Nadeem, M. (2017) Outcomes of Evacuation Extradural Hematoma via Craniotomy under Local Anesthesia. Neuroscience & Medicine, 8, 41-45. https://doi.org/10.4236/nm.2017.83006 Received: August 9, 2017 Accepted: September 25, 2017 Published: September 28, 2017 Copyright © 2017 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access