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. 2020 Jul 15;5(3):V22-V24.
doi: 10.21980/J8R059. eCollection 2020 Jul.

A Case Report of Epidural Hematoma After Traumatic Brain Injury

Ronald Goubert  1 , Alisa Wray  1 , Danielle Matonis  1
Affiliations

A Case Report of Epidural Hematoma After Traumatic Brain Injury

Ronald Goubert et al. J Educ Teach Emerg Med. .

Abstract

An epidural hematoma (EDH) is a potentially life-threatening intracranial hemorrhage (ICH) that may require emergency neurosurgical intervention to prevent rapid clinical decline. This case report discusses the presentation, diagnosis and neurosurgical intervention of an adult male who presented unresponsive and was found to have a right-sided epidural hematoma along with a left-sided subdural hematoma requiring surgical placement of an extra-ventricular drain. Although most epidural hematomas are easily visible on non-contrast computed tomography (CT), it is important to be able to recognize key diagnostic findings that separate epidural hematomas from other types of intracranial hemorrhages. While many are managed without surgery, it is important to know the presentation, progression, and diagnostic criteria that may warrant neurosurgical intervention to combat the effects of an expanding hematoma and increasing intracranial pressure.

Topics: Epidural Hematoma (EDH), Intracranial Hemorrhage (ICH), Traumatic Brain Injury (TBI).

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References

    1. MacKenzie EJ. Epidemiology of injuries: current trends and future challenges. Epidemiol Rev. 2000;22(1):112–119. doi: 10.1093/oxfordjournals.epirev.a018006. - DOI - PubMed
    1. Bullock MR, Chesnut R, Ghajar J, et al. Surgical management of acute epidural hematomas. Neurosurgery. 2006;58(Suppl):S7–S15. - PubMed
    1. Gutowski P, Meier U, Rohde V, Lemcke J, von der Brelie C. Clinical outcome of epidural hematoma treated surgically in the era of modern resuscitation and trauma care. World Neurosurg. 2018;118:e166–e174. doi: 10.1016/j.wneu.2018.06.147. - DOI - PubMed
    1. Heinzelmann M, Platz A, Imhof HG. Outcome after acute extradural haematoma, influence of additional injuries and neurological complications in the ICU. Injury. 1996;27(5):345–349. doi: 10.1016/0020-1383(95)00223-5. - DOI - PubMed
    1. Maugeri R, Anderson DG, Graziano F, Meccio F, Visocchi M, Iacopino DG. Conservative vs. surgical management of post-traumatic epidural hematoma: a case and review of literature. Am J Case Rep. 2015;16:811–817. doi: 10.12659/ajcr.895231. - DOI - PMC - PubMed