[Features of the clinical picture and surgical treatment of traumatic epidural hematomas in different age groups].
The authors made a comparative analysis of the clinical course and surgical tactics in traumatic epidural hematomas in children, in young and middle-aged patients, and in patients over 60. Increase in the incidence and severity of concomitant intracranial injuries was noted with an increase in the age of the injured. It was established that general cerebral and secondary-stem syndromes predominate in the clinical picture in children, whereas in elderly and old patients focal disorders are most clearly pronounced and the affection of the stem is of a primary character as a rule. In operations on older patients the cranial cavity must be examined especially thoroughly. Removal of the contusion foci and the use of the inflow-outflow system improves the results of the treatment considerably.