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Epidural Hemorrhage

An Epidural Hemorrhage is when there is bleeding into a specific area around the Brain. It occurs between the skull and the dura mater [outer most meninx].

This condition is often the result of trauma. It often results from a tear of the “middle meningeal artery“. It is considered to be extremely dangerous. But the prevalence of this happening is very uncommon.

It is important to understand that Epidural Hemorrhage is fundamentally different than Subdural Hemorrhage which is a tear in the artery that leads to bleeding in the brain.

Symptoms:

–  Headache
–  Nausea
–  Vomiting
–  Vision changes
–  Confusion
–  “Lucid interval” – momentary moment of regaining consciousness only to fall back unconscious
–  Loss of consciousness
–  Coma
–  Death

Diagnosis

1.)  A physical exam must be performed

2.)  Immediate Hospital visit is anticipated.

3.)  CAT scan is required for better evaluation

4.)  MRI and CT are helpful

Treatment

Removal of hemorrhage or blood

Decrease the intracranial pressure

Neurosurgery may be necessary

1.)  Burr hole
2.)  Craniotomy