Guidelines

What is extradural hemorrhage?

What is extradural hemorrhage?

Extradural hematoma (EDH), also known as an epidural hematoma, is a collection of blood that forms between the inner surface of the skull and outer layer of the dura, which is called the endosteal layer. They are usually associated with a history of head trauma and frequently associated skull fracture.

What causes Extradural haemorrhage?

Typically, an extradural haematoma is caused by a severe head injury – for example, in a road traffic accident. The blood usually collects in the epidural space soon after a head injury and symptoms are usually noticed quickly.

How is an extradural hematoma treated?

In most cases, your doctor will recommend surgery to remove an epidural hematoma. It usually involves a craniotomy. In this procedure, your surgeon will open up part of your skull so they can remove the hematoma and reduce the pressure on your brain. In other cases, your doctor may recommend aspiration.

What is the main source of bleeding in extradural hematomas?

The source of bleeding is typically from a torn meningeal artery, usually the middle meningeal artery (75%7). An associated skull fracture is present in ~75% of cases 3. Pain (often severe headache) is caused by the stripping of dura from the bone by the expanding hemorrhage.

What kind of blood form in an extradural hemorrhage?

Extradural hemorrhage. Dr Henry Knipe ◉ ◈ and A.Prof Frank Gaillard ◉ ◈ et al. Extradural hematoma (EDH), also known as an epidural hematoma, is a collection of blood that forms between the inner surface of the skull and outer layer of the dura, which is called the endosteal layer.

Where does extradural hemorrhage form in the skull?

Extradural haematoma (EDH), also known as an epidural haematoma, is a collection of blood that forms between the inner surface of the skull and outer layer of the dura, which is called the endosteal layer.

What is the prognosis for an extradural hemorrhage?

Treatment and prognosis. Prognosis, even with a relatively large hematoma, is in general quite good, as long as the clot is evacuated promptly. A smaller hematoma without mass effect or swirl sign can be treated conservatively 2, sometimes resulting in calcification of the dura.

What does it mean when you have an epidural hematoma?

Epidural hematoma. Jump to navigation Jump to search. Epidural hematoma is when bleeding occurs between the tough outer membrane covering the brain (dura mater), and the skull. Often there is loss of consciousness following a head injury, a brief regaining of consciousness, and then loss of consciousness again.