Epidural hematoma as seen on a CT scan with overlying skull fracture. Note the biconvex shaped collection of blood. There is also bruising with bleeding on the opposite side of the brain.
Specialty
Neurosurgery, Neurology
Symptoms
Headache, confusion, paralysis[1]
Usual onset
Rapid[2]
Causes
Head injury, bleeding disorder, blood vessel malformation[1]
Epidural hematoma is when bleeding occurs between the tough outer membrane covering the brain (dura mater) and the skull.[4] When this condition occurs in the spinal canal, it is known as a spinal epidural hematoma.[4]
There may be loss of consciousness following a head injury, a brief regaining of consciousness, and then loss of consciousness again.[2] Other symptoms may include headache, confusion, vomiting, and an inability to move parts of the body.[1] Complications may include seizures.[1]
The cause is typically head injury that results in a break of the temporal bone and bleeding from the middle meningeal artery.[4] Occasionally it can occur as a result of a bleeding disorder or blood vessel malformation.[1] Diagnosis is typically by a CT scan or MRI scan.[1]
Treatment is generally by urgent surgery in the form of a craniotomy or burr hole,[1] or (in the case of a spinal epidural hematoma) laminotomy with spinal decompression.
The condition occurs in one to four percent of head injuries.[1] Typically it occurs in young adults.[1] Males are more often affected than females.[1]
^ abcdefghijklmFerri, Fred F. (2016). Ferri's Clinical Advisor 2017 E-Book: 5 Books in 1. Elsevier Health Sciences. p. 441. ISBN 9780323448383.
^ abPooler, Charlotte (2009). Porth Pathophysiology: Concepts of Altered Health States. Lippincott Williams & Wilkins. p. 1256. ISBN 9781605477817.
^ abcPryse-Phillips, William (2009). Companion to Clinical Neurology. Oxford University Press. p. 335. ISBN 9780199710041. Epidural hemorrhage (epidural hematoma, extradural hemorrhage, or hematoma) Bleeding outside the outermost layer of the dural mater, which is thus stripped away from the inner table of the skull or spinal canal.
Epiduralhematoma is when bleeding occurs between the tough outer membrane covering the brain (dura mater) and the skull. When this condition occurs in...
subdural hematomas are often life-threatening. Chronic subdural hematomas have a better prognosis if properly managed. In contrast, epiduralhematomas are...
delivery. Epiduralhematoma – between the skull and dura mater Subdural hematoma – between the dura mater and arachnoid mater Subarachnoid hematoma – between...
affected by epidural use. Rare complications of epidural administration include formation of an epidural abscess (1 in 145,000) or epiduralhematoma (1 in 168...
Spinal extradural haematoma or spinal epiduralhematoma (SEH) is bleeding into the epidural space in the spine. These may arise spontaneously (e.g. during...
(more common in children), then epiduralhematoma may cross the suture lines. As the blood accumulated in the epidural space is confined within suture...
sinus (rarely) may bleed into this potential space and result in an epiduralhematoma. In the spinal canal, the periosteal layer adheres to the inner surface...
there is a fracture around the pterion it could be accompanied by an epiduralhematoma. The pterion is located in the temporal fossa, approximately 2.6 cm...
interval is especially indicative of an epiduralhematoma. An estimated 20 to 50% of patients with epiduralhematoma experience such a lucid interval. When...
Hospital in New York City, where she died two days later from an epiduralhematoma. Richardson's family issued a statement on the day of her death: "Liam...
intracranial bleeding, including subarachnoid hemorrhage, subdural hematoma, epiduralhematoma, and intraparenchymal hemorrhage. The recovery of brain function...
Other causes include spinal stenosis, cancer, trauma, epidural abscess, and epiduralhematoma. The diagnosis is suspected based on symptoms and confirmed...
hypotension Spinal epiduralhematoma, with or without subsequent neurological sequelae due to compression of the spinal nerves. Epidural abscess Infection...
Traumatic subdural hematoma, a bleeding below the dura mater which may develop slowly Traumatic extradural, or epiduralhematoma, bleeding between the...
serious headaches found in children include brain bleeds (subdural hematoma, epiduralhematoma), brain abscesses, meningitis and ventriculoperitoneal shunt...
where the skull is thin. Rupture of the artery may give rise to an epiduralhematoma. In the dry cranium, the middle meningeal, which runs within the dura...
such as brain tumor, infarction with edema, contusions, subdural or epiduralhematoma, or abscesses all tend to deform the adjacent brain.[citation needed]...
torn, usually during an accident, and blood leaks into this area. An epiduralhematoma, bleeding between the dura mater and the skull, may arise after an...
Japanese Shinto priest, chief priest of Yasukuni Shrine (2008–2013), epiduralhematoma. Mike Nugent, 77, Australian athlete and wheelchair manufacturer,...
stairs at his home in Santaquin and striking his head, resulting in an epiduralhematoma. Gary Wayne Coleman was born in Zion, Illinois, on February 8, 1968...
sterilization of acupuncture needles. Other adverse events included spinal epiduralhematoma (in the cervical, thoracic and lumbar spine), chylothorax, injuries...
usually as a result of torn bridging veins secondary to head trauma. An epiduralhematoma is a collection of blood between the dura and the inner surface of...
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