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Epidural Hematoma

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Critical Findings in Neuroradiology

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

  1. Daroff RB, Bradley WG. Bradley’s neurology in clinical practice. Philadelphia: Elsevier/Saunders; 2012. p. 942–56.

    Google Scholar 

  2. Mayer S, Rowland L. Merritt’s neurology. Philadelphia: Lippincott Williams & Wilkins; 2012. p. 479–94.

    Google Scholar 

  3. Bullock MR, Chesnut R, Ghajar J, et al. Surgical management of acute epidural hematomas. Neurosurgery. 2006;58:S7.

    PubMed  Google Scholar 

  4. Roka YB, Kumar P, Sharma GR, Adhikari P. Traumatic posterior fossa extradural hematoma. JNMA: J Nepal Med Assoc. 2008;47:174–8.

    CAS  Google Scholar 

  5. Lui T, Lee S, Chang C. Epidural hematomas in the posterior cranial fossa. J Trauma. 1993;34:211–5.

    Article  CAS  PubMed  Google Scholar 

  6. 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.

    Article  PubMed  Google Scholar 

  7. 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.

    Article  CAS  Google Scholar 

  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.

    Google Scholar 

  9. 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.

    Article  PubMed  Google Scholar 

  10. McIver JI, Scheithauer BW, Rydberg CH, Atkinson JL. Metastatic hepatocellular carcinoma presenting as epidural hematoma: case report. Neurosurgery. 2001;49:447.

    CAS  PubMed  Google Scholar 

  11. 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.

    Article  CAS  PubMed  Google Scholar 

  12. Naran AD, Fontana L. Sickle cell disease with orbital infarction and epidural hematoma. Pediatr Radiol. 2001;31:257.

    Article  CAS  PubMed  Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

  14. 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.

    Article  PubMed  Google Scholar 

  15. 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.

    Google Scholar 

  16. Ferri F. Ferri’s clinical advisor 2015: 5 books in 1. Philadelphia: Mosby; 2014. p. 428–9.

    Google Scholar 

  17. 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.

    Article  CAS  PubMed  Google Scholar 

  18. 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.

    Article  CAS  PubMed  Google Scholar 

  19. Kubal WS. Updated imaging of traumatic brain injury. Radiol Clin North Am. 2012;50(1):15–41.

    Article  PubMed  Google Scholar 

  20. 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.

    Article  CAS  PubMed  Google Scholar 

  21. Zimmerman RA, Bilaniuk LT. Computed tomographic staging of traumatic epidural bleeding. Radiology. 1982;144:809–12.

    Article  CAS  PubMed  Google Scholar 

  22. Victor M, Ropper A. Adams and Victor’s principles of neurology. 7th ed. New York: McGraw-Hill; 2001. p. 925.

    Google Scholar 

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Correspondence to Mauricio Enrique Moreno MD .

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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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  • Publisher Name: Springer, Cham

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