Top 14 epidural hematoma treatment in 2022

Below are the best information and knowledge on the subject epidural hematoma treatment compiled and compiled by our own team alltopus:

1. Epidural Hematoma (EDH): Symptoms, Causes & Treatment

Author: my.clevelandclinic.org

Date Submitted: 06/08/2019 12:22 PM

Average star voting: 4 ⭐ ( 47133 reviews)

Summary: An epidural hematoma occurs when blood collects in the space between your skull and the dura mater, the outermost membrane covering of your brain.

Match with the search results: The preferred surgery is craniotomy and hematoma evacuation. This means removing a piece of your skull and removing the blood clot, stopping any ……. read more

Epidural Hematoma (EDH): Symptoms, Causes & Treatment

2. Epidural hematoma Information | Mount Sinai – New York

Author: www.mountsinai.org

Date Submitted: 07/24/2019 11:41 AM

Average star voting: 4 ⭐ ( 75196 reviews)

Summary:

Match with the search results: An EDH is an emergency condition. Treatment goals include: … Life support measures may be required. Emergency surgery is often necessary to reduce pressure ……. read more

Epidural hematoma Information | Mount Sinai - New York

3. Epidural Hematoma

Author: www.ncbi.nlm.nih.gov

Date Submitted: 10/12/2020 08:15 AM

Average star voting: 3 ⭐ ( 73717 reviews)

Summary: An epidural hematoma (EDH) is an extra-axial collection of blood within the potential space between the outer layer of the dura mater and the inner table of the skull. It is confined by the lateral sutures (especially the coronal sutures) where the dura inserts. It is a life-threatening condition, which may require immediate intervention and can be associated with significant morbidity and mortality if left untreated. Rapid diagnosis and evacuation are important for a good outcome.[1][2][3]

Match with the search results: In patients with acute and symptomatic EDHs, the treatment is craniotomy and hematoma evacuation….. read more

Epidural Hematoma

4. Epidural Hematoma Treatment & Management: Medical Care, Surgical Care, Consultations

Author: emedicine.medscape.com

Date Submitted: 03/02/2021 01:09 PM

Average star voting: 3 ⭐ ( 64791 reviews)

Summary: Epidural hematoma (ie, accumulation of blood in the potential space between dura and bone) may be intracranial (EDH) or spinal (SEDH) (see the image below). Intracranial epidural hematoma occurs in approximately 2% of patients with head injuries and 5-15% of patients with fatal head injuries.

Match with the search results: Craniotomy or laminectomy is followed by evacuation of the hematoma, coagulation of bleeding sites, and inspection of the dura. The dura is then ……. read more

Epidural Hematoma Treatment & Management: Medical Care, Surgical Care, Consultations

5. Epidural Hematoma Management in the ED: Practice Essentials, Pathophysiology, Epidemiology

Author: emedicine.medscape.com

Date Submitted: 05/23/2020 12:16 PM

Average star voting: 5 ⭐ ( 85809 reviews)

Summary: Epidural hematoma (EDH) is a traumatic accumulation of blood between the inner table of the skull and the stripped-off dural membrane. The inciting event often is a focused blow to the head, such as that produced by a hammer or baseball bat.

Match with the search results: Approach to treatment depends on the volume of blood, the time of diagnosis, and the neurologic deficit level. Simultaneous drainage of ……. read more

Epidural Hematoma Management in the ED: Practice Essentials, Pathophysiology, Epidemiology

6. Epidural Hematoma | Definition and Patient Education

Author: www.healthline.com

Date Submitted: 12/05/2020 08:16 PM

Average star voting: 5 ⭐ ( 97608 reviews)

Summary:

Match with the search results: In most cases, your doctor will recommend surgery to remove an epidural hematoma. It usually involves a craniotomy. In this procedure, your ……. read more

Epidural Hematoma | Definition and Patient Education

7. Epidural hematoma: Definition, treatment, and outlook

Author: www.medicalnewstoday.com

Date Submitted: 10/25/2021 10:16 AM

Average star voting: 5 ⭐ ( 78865 reviews)

Summary: Head injuries require immediate medical attention. If blood vessels rupture, a person can develop internal bleeding around the brain. This is called an epidural hematoma. Symptoms include vomiting and seizures. It is potentially life-threatening. Treatment depends on the severity, but surgery may be necessary.

Match with the search results: Treatment · Surgery. In many cases, a doctor will use one of two surgical procedures to remove the blood from the brain. A craniotomy is more likely to be used ……. read more

Epidural hematoma: Definition, treatment, and outlook

8. Epidural Hematoma: Signs, Symptoms, and Treatment

Author: www.uclahealth.org

Date Submitted: 03/20/2019 08:57 PM

Average star voting: 3 ⭐ ( 52440 reviews)

Summary: Epidural hematoma is a type of closed head injury that comes from bleeding between the skull and the brain.

Match with the search results: Surgeons treat EDH by removing the clot to lower pressure on the brain and stopping bleeding to prevent the hematoma from returning. Outcome. Recovery after ……. read more

Epidural Hematoma: Signs, Symptoms, and Treatment

9. Minimally Invasive Surgical Treatment of Acute Epidural Hematoma: Case Series

Author: www.uptodate.com

Date Submitted: 11/18/2020 02:08 PM

Average star voting: 5 ⭐ ( 44757 reviews)

Summary: Background and Objective. Although minimally invasive surgical treatment of acute epidural hematoma attracts increasing attention, no generalized indications for the surgery have been adopted. This study aimed to evaluate the effects of minimally invasive surgery in acute epidural hematoma with various hematoma volumes. Methods. Minimally invasive puncture and aspiration surgery were performed in 59 cases of acute epidural hematoma with various hematoma volumes (13–145 mL); postoperative follow-up was 3 months. Clinical data, including surgical trauma, surgery time, complications, and outcome of hematoma drainage, recovery, and Barthel index scores, were assessed, as well as treatment outcome. Results. Surgical trauma was minimal and surgery time was short (10–20 minutes); no anesthesia accidents or surgical complications occurred. Two patients died. Drainage was completed within 7 days in the remaining 57 cases. Barthel index scores of ADL were ≤40 (), 41–60 (), and >60 (); scores of 100 were obtained in 48 cases, with no dysfunctions. Conclusion. Satisfactory results can be achieved with minimally invasive surgery in treating acute epidural hematoma with hematoma volumes ranging from 13 to 145 mL. For patients with hematoma volume >50 mL and even cerebral herniation, flexible application of minimally invasive surgery would help improve treatment efficacy.

Match with the search results: …. read more

Minimally Invasive Surgical Treatment of Acute Epidural Hematoma: Case Series

10. Intracranial hematoma – Symptoms and causes

Author: en.wikipedia.org

Date Submitted: 10/05/2020 05:22 PM

Average star voting: 4 ⭐ ( 83826 reviews)

Summary:

Match with the search results: Topic Outline · Surgery · Nonoperative management · Deciding who needs surgery · Reversing anticoagulation · Intracranial pressure….. read more

Intracranial hematoma - Symptoms and causes

11. Conservative management of significant epidural haematomas – Egyptian Journal of Neurosurgery

Author: www.verywellhealth.com

Date Submitted: 01/13/2021 07:16 PM

Average star voting: 4 ⭐ ( 70219 reviews)

Summary: Extradural haematomas form 0.5% of all head injuries (Narayan and Kempisy, Principles of Neurosurgery, 2005). With the extensive blood supply to the vein, injury to the meningeal arteries leads to rapid intracranial bleeding of significant amounts of blood. These patients have traditionally been treated with urgent surgical evacuation of the haematoma to relieve the compression of the brain and brain stem (Bricolo and Pasaut, Neurosurgery 14:8-12, 1984). With the routine use of computed tomography (CT) for management of head injury patients, non-operative management is being used more often in selected patients (Narayan and Kempisy, Principles of Neurosurgery, 2005; Bricolo and Pasaut, Neurosurgery 14:8-12, 1984; Dubey et al., Neurol India 52:443-445, 2004; Offner et al., Am J Surg 192:801-805, 2006). If this can be shown as a suitable alternative to surgical intervention, it will offer a mode of treatment that has fewer potential complications and risks than the traditional surgical route. The authors report 50 patients who had an extradural haematoma on computed tomographic scanning and did not need surgical treatment. This was during the last 3 years at Assiut University Hospital. During the same period, there were another 270 patients who had an extradural haematoma and all of them needed surgical treatment. This study is limited only to the 50 patients who did not require surgery. A CT scan was done 24–48 h after the head injury. All the 50 patients had minimal symptoms and signs which were headache and rarely vomiting but no loss of consciousness, and none of the patients had papilloedema. All the 50 patients were managed conservatively, being kept under neurosurgical care and were followed up by serial CT scanning. Their condition was either static or improving. None of the 50 patients needed surgery. They all made a complete recovery and showed resolution of the haematoma on CT scanning. This was over a period of 4–15 weeks. Radiologically significant extradural haematomas can be treated conservatively. This depends on the neurological state of the patient rather than the size of the extradural haematoma. When conservative treatment is considered, adequate neurological observation is mandatory.

Match with the search results: The preferred surgery is craniotomy and hematoma evacuation. This means removing a piece of your skull and removing the blood clot, stopping any ……. read more

Conservative management of significant epidural haematomas - Egyptian Journal of Neurosurgery

12. Management of Traumatic Epidural Hematoma in Infants Younger than One Year: 50 Cases – Single Center Experience

Author: www.hindawi.com

Date Submitted: 01/14/2019 11:34 PM

Average star voting: 3 ⭐ ( 76583 reviews)

Summary: Aim and Background: Traumatic epidural hematoma (EDH) is a rare but possibly fatal complication of head trauma in infants. In this study, infants who were younger than 1 year and followe

Match with the search results: An EDH is an emergency condition. Treatment goals include: … Life support measures may be required. Emergency surgery is often necessary to reduce pressure ……. read more

Management of Traumatic Epidural Hematoma in Infants Younger than One Year: 50 Cases – Single Center Experience

13. Burr-Hole Drainage for the Treatment of Acute Epidural Hematoma in Coagulopathic Patients: A Report of Eight Cases | Journal of Neurotrauma

Author: www.mayoclinic.org

Date Submitted: 04/23/2021 02:37 PM

Average star voting: 5 ⭐ ( 91855 reviews)

Summary:

Match with the search results: In patients with acute and symptomatic EDHs, the treatment is craniotomy and hematoma evacuation….. read more

Burr-Hole Drainage for the Treatment of Acute Epidural Hematoma in Coagulopathic Patients: A Report of Eight Cases | Journal of Neurotrauma

14. Spontaneous spinal epidural hematoma management: a case series and literature review | Spinal Cord Series and Cases

Author: www.uptodate.com

Date Submitted: 08/14/2021 11:04 AM

Average star voting: 3 ⭐ ( 13268 reviews)

Summary: Spontaneous spinal epidural hematoma (SSEH) manifests from blood accumulating in the epidural space, compressing the spinal cord and leading to acute neurological deficits. Standard therapy is decompressive laminectomy, although spontaneous recoveries have been reported. Sub-optimal therapeutic principles contribute to SSEH’s 5.7% mortality—which patient will benefit from surgery remains unclear. This study aims to investigate parameters that affect SSEH’s progression, outlining a best-practice therapeutic approach. Literature review yielded 65 cases from 12 studies. Furthermore, 6 cases were presented from our institution. All data were analyzed under American Spinal Injury Association (ASIA) score guidelines. Fifty percent of SSEH patients do not fully recover. In all, 30% of patients who presented with an ASIA score of A did not improve with surgery, although every SSEH patient who presented at C or D improved. Spontaneous recovery is rare—only 23% of patients were treated conservatively. Seventy-three percent of those made a full recovery, as opposed to the 48% improvement in patients managed surgically. Thirty-three percent of patients managed conservatively had an initial score of A or B, all improving to a score of D or E without surgery. Regardless, conservative management tends toward low-risk presentations. Patients managed conservatively were three times as likely to have an initial score of D than their surgically managed counterparts. The degree of pre-operative neural deficit is a major prognostic factor. Conservative management has proven effective, although feasible only if spontaneous recovery is manifested. Decompressive laminectomy should continue to remain readily available, given the inverse correlation between operative interval and recovery.

Match with the search results: Craniotomy or laminectomy is followed by evacuation of the hematoma, coagulation of bleeding sites, and inspection of the dura. The dura is then ……. read more

Spontaneous spinal epidural hematoma management: a case series and literature review | Spinal Cord Series and Cases

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