Epidural hematoma (EDH) is an intracranial hemorrhage between the outer membrane of the brain (dura mater) and the skull, usually caused by trauma. TRAUMATIC EPIDURAL VS SUBDURAL HEMATOMA. Trauma to be brain can be associated with both epidural and subdural hematomas. Epidural hematoma is a type of closed head injury that comes from bleeding between the skull and the brain.

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Depending on the child’s age and extent of bone damage, contact sports are allowed when the bone has sufficiently healed.

Epidural hematoma: MedlinePlus Medical Encyclopedia

A recent study tries to pin down the exact molecules involved. Turns out carbs alone can’t be faulted for any weight issues – it’s the combination of how and what you…. Epidural CT 1 Figure 2. Epidural hematomas occur most commonly after a head trauma, which may cause a temporary loss of consciousness or a coma.

As described in the Monroe-Kellie doctrine, the overall volume of the intracranial compartment cannot change within the rigid skull with closed sutures. Following this “lucid interval”, rapid deterioration due to blood accumulation may cause headache, vomiting, drowsiness, confusion, aphasia, seizures and hemiparesis.

The time it takes for symptoms to develop depends on the severity of the injury and how quickly blood is filling into the lining between the brain and skull.


The examiner must also look for any lateralizing signs such as hemiparesis, hemiplegia, and anisocoria unequal pupils. Diffuse Axonal Injury Learn about the outlook and prognosis for a diffuse axonal injury. A delay in diagnosis and treatment increases the morbidity and the mortality. Get the most out of Medical News Today. In the pediatric population, potential etiologies include middle ear or sinus infection, complication of neurosurgical procedures i.

Herniation through the foramen magnum is associated with downbeat hematima, bradycardia, bradypnea, and hypertension. Emergency Medicine What to do when a pill gets stuck in the hematomq What causes Fournier’s gangrene? Most epidural hejatoma result from arterial bleeding from a branch of the middle meningeal artery.

But, without magnesium, vitamin D may not function properly. Children with an EDH in an acute setting, with a GCS of 12 or avalah, need to be seen by a neurosurgeon to evaluate the child for surgical intervention. Medication will likely be prescribed both before and after surgery. Anterior spinal artery syndrome Vertebrobasilar insufficiency Subclavian steal syndrome brainstem: Various other studies may be necessary depending on the individual case.

It is a rare disorder.

Your recovery process can take time. B is the largest diameter 90 degrees to A on the same CT slice.

Epidural Hematoma – StatPearls – NCBI Bookshelf

The most important symptoms of an EDH are: The volume of an EDH is correlated with clinical outcome and considered in the treatment planning. Your Anxiety Loves Sugar. Males are more often affected than are females. Epidural hematomas may present with a lucid period immediately following the trauma and a delay before symptoms become evident.


The Glasgow Coma Scale GCS is a useful tool to assess the neurological status of the patient; furthermore, in children aged 2 years and younger, the pediatric GCS is recommended. You must be a registered member of Cancer Therapy Advisor to post a comment.

What is an epidural hematoma?

Spontaneously formed EDH is rare. It is likely recovery from an epidural hematoma will take months or even years.

The pressure within the cranial vault directly depends on the volume and compliance of the brain parenchyma, cerebrospinal fluid CSFand blood. These include mannitol, glycerol, and hypertonic saline. Furthermore, children with GCS of 8 or less and with rapidly worsening mental status are intubated and ventilated to maintain pCO2 between 35 and 40 mmHg.

Hemorrhages commonly result from acceleration-deceleration trauma and transverse forces.

Thus they expand inward toward the brain rather than along the inside of the skull, as occurs in subdural hematoma.