Abstract
Epidural hematoma represents bleeding between the dura and the skull. It accounts for 1–4 % of traumatic head injuries. Typically, epidural hematomas have high-attenuation, are biconvex, and are extra-axial blood collections on CT. The margins of the hematoma are anchored at the sutures and they can cross the midline at the vertex. Careful examination of a CT study with bone windows allows identification of a skull fractures in 90 % or more of adults with an epidural hematomas.
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References
Daroff RB, Bradley WG. Bradley’s neurology in clinical practice. Philadelphia: Elsevier/Saunders; 2012. p. 942–56.
Mayer S, Rowland L. Merritt’s neurology. Philadelphia: Lippincott Williams & Wilkins; 2012. p. 479–94.
Bullock MR, Chesnut R, Ghajar J, et al. Surgical management of acute epidural hematomas. Neurosurgery. 2006;58:S7.
Roka YB, Kumar P, Sharma GR, Adhikari P. Traumatic posterior fossa extradural hematoma. JNMA: J Nepal Med Assoc. 2008;47:174–8.
Lui T, Lee S, Chang C. Epidural hematomas in the posterior cranial fossa. J Trauma. 1993;34:211–5.
Karasu A, Sabanci PA, Izgi N, Imer M, Sencer A, Cansever T, et al. Traumatic epidural hematomas of the posterior cranial fossa. Surg Neurol. 2008;69(3):247–51.
Kawakami Y, Tamiya T, Tanimoto T, Shimamura Y, Hattori S, Ueda T, et al. Nonsurgical treatment of posterior fossa epidural hematoma. Paediatr Neurol. 1990;6:112–8.
Bullock MR, Chesnut R, Ghajar J. Surgical management of traumatic brain injury author group: surgical management of posterior fossa mass lesions. Neurosurgery. 2006;58(3 Suppl):47–55.
Moonis G, Granados A, Simon SL. Epidural hematoma as a complication of sphenoid sinusitis and epidural abscess: a case report and literature review. Clin Imaging. 2002;26:382.
McIver JI, Scheithauer BW, Rydberg CH, Atkinson JL. Metastatic hepatocellular carcinoma presenting as epidural hematoma: case report. Neurosurgery. 2001;49:447.
Ng WH, Yeo TT, Seow WT. Non-traumatic spontaneous acute epidural haematoma – report of two cases and review of the literature. J Clin Neurosci. 2004;11(7):791–4.
Naran AD, Fontana L. Sickle cell disease with orbital infarction and epidural hematoma. Pediatr Radiol. 2001;31:257.
Martínez-Lage JF, Saez V, Requena L, Martínez-Barba E, Poza M. Cranial epidural hematoma in Paget’s disease of the bone. Intensive Care Med. 2000;26:1582.
Shahlaie K, Fox A, Butani L, Boggan JE. Spontaneous epidural hemorrhage in chronic renal failure. A case report and review. Pediatr Nephrol. 2004;19:1168.
American College of Radiology. ACR appropriateness criteria® Clinical condition: head trauma. Reston: American College of Radiology; 2014. Available from: https://acsearch.acr.org/docs/69481/Narrative/. Accessed 20 Nov 2014.
Ferri F. Ferri’s clinical advisor 2015: 5 books in 1. Philadelphia: Mosby; 2014. p. 428–9.
Gentry LR, Godersky JC, Thompson B, Dunn VD. Prospective comparative study of intermediate-field MR and CT in the evaluation of closed head trauma. AJR Am J Roentgenol. 1988;150:673.
Miller DJ, Steinmetz M, McCutcheon IE. Vertex epidural hematoma: surgical versus conservative management: two case reports and review of the literature. Neurosurgery. 1999;45:621.
Kubal WS. Updated imaging of traumatic brain injury. Radiol Clin North Am. 2012;50(1):15–41.
Matsumoto K, Akagi K, Abekura M, Tasaki O. Vertex epidural hematoma associated with traumatic arteriovenous fistula of the middle meningeal artery: a case report. Surg Neurol. 2001;55:302.
Zimmerman RA, Bilaniuk LT. Computed tomographic staging of traumatic epidural bleeding. Radiology. 1982;144:809–12.
Victor M, Ropper A. Adams and Victor’s principles of neurology. 7th ed. New York: McGraw-Hill; 2001. p. 925.
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Moreno, M.E., Álamos, F. (2016). Epidural Hematoma. In: Hoffmann Nunes, R., Abello, A., Castillo, M. (eds) Critical Findings in Neuroradiology. Springer, Cham. https://doi.org/10.1007/978-3-319-27987-9_22
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DOI: https://doi.org/10.1007/978-3-319-27987-9_22
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