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Prognosis of patients with bilateral fixed dilated pupils secondary to traumatic extradural or subdural haematoma who undergo surgery: a systematic review and meta-analysis
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  • Published on:
    A pinch of salt or a drop of saline?
    • C Andrew Eynon, Consultant in Neurointensive Care
    • Other Contributors:
      • John A Hell

    We were surprised by the EMJ decision to publish the study by Scotter et al (1) A number of previous studies including those studied by Scotter and colleagues have concluded that bilateral, fixed, dilated pupils in the context of severe head injury are not universally predictive of poor outcome. Performing a meta-analysis of five, retrospective, cohort studies, one of which was conducted before 1988 does not change this m...

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    Conflict of Interest:
    None declared.