Intracranial epidural hematoma

• Are isolated linear fractures over major dural venous sinuses a risk factor for sinus thrombosis in mild TBI?
• Risk factors for the development of hydrocephalus in traumatic brain injury: a systematic review and meta-analysis
• Spontaneous Spinal Epidural Hematoma Mimicking Stroke in a Young Patient: A Case Report
• Acute Epidural Hematoma: From Injury to Death
• Progression of intracranial hemorrhages in neurotrauma patients: A clinical and radiological comparison of isolated versus multiple areas of hemorrhage and associated transfusion treatment strategies
• Small Change, BIG Impact: Proposal of the Brain Injury Guidelines for kids (kBIG)
• Intravenous Thrombolysis for Acute Ischemic Stroke Following Cervical Epidural Injection: A Case Report
• Clinical Characteristics and Outcomes of Pediatric Traumatic Brain Injury Patients in a Tertiary Regional Trauma Center in the Philippines

Postoperative Epidural Hematoma

Skull Base Epidural Hematoma

Supratentorial epidural hematoma.

Posterior fossa epidural hematoma.

Bilateral intracranial acute epidural hematoma.

Intracranial acute epidural hematoma.

Intracranial chronic epidural hematoma.

Intracranial delayed epidural hematoma.

Pediatric intracranial epidural hematoma.

Intracranial epidural hematoma diagnosis.

see Intracranial epidural hematoma treatment.

Intracranial Epidural Bleeding: History, Management, and Pathophysiology

A 50-year-old male presented with holocranial headache associated with nausea after mild traumatic brain injury The day before, he went to the emergency room due to a casual fall due to a slip on a 2-3-step ladder He denies sweating or any other previous symptoms. He denies peri-traumatic amnesia. He denies loss of consciousness. He refers to dizziness at the present time.

He refers to what happened while he was at his job.

S-100B 0,021 ng/mL

Wound at the scalp.

Extraaxial hyperdense biconvex collection of 2 x 5.7 cm (TR x AP) left temporal in relation to acute epidural hematoma. Mass Effect on the adjacent sulci of convexity and partial collapse of the left lateral ventricle, without signs suggestive of brain herniation. Extra-axial collection in the right temporal location related to subarachnoid hemorrhage, observing some intraparenchymal contusion with surrounding brain edema in the adjacent turns. Permeable basal cisterns. Centered midline. Left parietotemporal fracture line with anteroinferior direction and adjacent soft tissue augmentation.

Preoperative antibiotic prophylaxis with 2g IV cefazolin.

Supine position with head lateralized to the right. Left frontoparietotemporal question mark incision.

A transverse temporal bone fracture with active venous bleeding was observed. Left frontotemporal craniotomy, leaving the bone separated into 2 fragments by the fracture. Profuse active arterial epidural bleeding from a coagulating dural branch of the middle meningeal artery. Evacuation of an organized epidural hematoma adjacent to said the point of active bleeding and extending to the skull base. Venous bleeding from the epidural vein parallel to the middle meningeal vein was also observed, which coagulated and hemostasis with epidural Tachosil apposition. Careful hemostasis with dural surface coagulation and Floseal. Durapexies including two central points (frontal and temporal). Craniotomy bone replacement (after reconstruction of the fracture with 2 straight miniplates) and fixation with titanium miniplates. Wound Closure by layers (temporal muscle and subcutaneous fascia with absorbable suture and skin with surgical staple).