Intracranial epidural hematoma diagnosis

In the era before computerized tomography (CT), Intracranial epidural hematomas were usually diagnosed by invasive and less accurate techniques, such as cerebral angiography, pneumoencephalography, or exploratory burr holes. Thus, the philosophy for immediate and universal evacuation to avoid the inevitability of brainstem compression is understandable. However, with the advent of CT, an increasing number of patients receive imaging despite minimal neurologic findings. In some cases, an EDH may be identified and the surgeon must decide whether to recommend surgical intervention ¹⁾.