Extradural hemorrhage

Alternative Names

Extradural hematoma; Epidural hematoma

Definition of Extradural hemorrhage

An extradural hemorrhage is bleeding between the inside of the skull and the outer covering of the brain (called the “dura”).

Causes, incidence, and risk factors

An extradural hemorrhage is often caused by a skull fracture during childhood or adolescence. This type of bleeding is more common in young people because the membrane covering the brain is not as firmly attached to the skull as it is in older people.

Symptoms

A health care provider should be consulted for any that results in even a brief or if there are any other symptoms after a head injury (even without loss of consciousness).

Signs and tests

The neurological examination may indicate that a specific part of the brain is malfunctioning (for instance, arm weakness on one side) or may indicate .

Treatment

An extradural hemorrhage is an emergency condition! Treatment goals include taking measures to save the person’s life, controlling symptoms, and minimizing or preventing permanent damage to the brain.

Expectations (prognosis)

An extradural hemorrhage has a high risk of death without prompt surgical intervention. Even with prompt medical attention, a significant risk of death and disability remains.

Review

Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. – 6/29/2010

ADAM Medical Encyclopedia

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