Epidural hematoma: Difference between revisions

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'''For patient information click [[Epidural hematoma (patient information)|here]]'''
{{DiseaseDisorder infobox |
{{DiseaseDisorder infobox |
   Name          = Extradural haemorrhage |
   Name          = Extradural haemorrhage |
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   DiseasesDB    = 4353 |
   DiseasesDB    = 4353 |
   MedlinePlus    = 001412 |
   MedlinePlus    = 001412 |
  eMedicineSubj  = |
  eMedicineTopic = |
  eMedicine_mult = |
   MeshID        = D006407 |
   MeshID        = D006407 |
}}
}}
{{Epidural hematoma}}
{{Epidural hematoma}}
{{CMG}}


{{SK}}: Extradural hematoma
{{CMG}} {{AE}}{{MMJ}}
==Epidural hematoma in the spine==
 
== [[Epidural hematoma overview|Overview]] ==
 
== [[Epidural hematoma pathophysiology|Pathophysiology]] ==
 
== [[Epidural hematoma causes|Causes]] ==
 
== [[Epidural hematoma differential diagnosis|Differentiating Epidural hematoma from other Diseases]] ==
 
== [[Epidural hematoma epidemiology and demographics|Epidemiology and Demographics]] ==
 
== [[Epidural hematoma risk factors|Risk Factors]] ==
 
== [[Epidural hematoma natural history, complications and prognosis|Natural History, Complications and Prognosis]] ==
 
== Diagnosis ==


Bleeding into the epidural space in the spine may also cause epidural hematoma. These may arise spontaneously (e.g. during [[childbirth]], or as a rare complication of anaesthesia (such as [[epidural]] anaesthesia) or surgery (such as laminectomy).
[[Epidural hematoma history and symptoms|History and Symptoms]] | [[Epidural hematoma physical examination|Physical Examination]] | [[Epidural hematoma laboratory findings|Laboratory Findings]] | [[Epidural hematoma electroencephalogram|Electroencephalogram]] | [[Epidural hematoma CT|CT]] | [[Epidural hematoma MRI|MRI]]


The anatomy of the epidural space means that spinal epidural hematoma has a different profile from cranial epidural hematoma. In the spine, the epidural space contains loose fatty tissue, and the '''epidural venous plexus''', a network of large, thin-walled veins. This means that bleeding is likely to be venous. Anatomical abnormalities and [[coagulopathy| bleeding disorder]]s make these lesions more likely.
== Treatment ==


They may cause pressure on the spinal cord or [[cauda equina]], which may present as pain, muscle weakness, or bladder and bowel dysfunction.
[[Epidural hematoma medical therapy|Medical therapy]] | [[Epidural hematoma surgery|Surgery]] | [[Epidural hematoma primary prevention|Primary Prevention]] | [[Epidural hematoma secondary prevention|Secondary Prevention]] | [[Epidural hematoma cost-effectiveness of therapy|Cost Effectiveness of Therapy]] | [[Epidural hematoma future or investigational therapies|Future or Investigational Therapies]]


The diagnosis may be made on clinical appearance and time course of symptoms. It usually requires [[MRI]] scanning to confirm.
== Case Studies ==


The treatment is surgical decompression.
[[Epidural hematoma case study one|Case #1]]


The incidence of epidural hematoma following epidural anaesthesia is extremely difficult to quantify; estimates vary from 1 per 10,000 to 1 per 100,000 epidural anaesthetics. This means that a typical anaesthetist or [[anesthesiologist]] is statistically unlikely to cause one in a whole career.
== See also ==


==See also==
* [[Intracranial hematoma]]
* [[Intracranial hematoma]]
:* [[Extra-axial hematoma]]
:* [[Extra-axial hematoma]]
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::* [[Subarachnoid hemorrhage]]
::* [[Subarachnoid hemorrhage]]
:* [[Intra-axial hematoma]]
:* [[Intra-axial hematoma]]
* [[Diffuse axonal injury]]
* [[Diffuse axonal injury]]
* [[Concussion]]
* [[Concussion]]
* [[Brain contusion]]
* [[Brain contusion]]


==References==
{{reflist|2}}
{{Cerebral hemorrhage}}
{{Injuries, other than fractures, dislocations, sprains and strains}}
{{Injuries, other than fractures, dislocations, sprains and strains}}


[[Category:Neurotrauma]]
[[Category:Neurotrauma]]
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Overview complete]]
[[Category:Overview complete]]
[[de:Hirnblutung]]
[[de:Hirnblutung]]
[[fr:Hématome extra-dural]]
[[fr:Hématome extra-dural]]
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Latest revision as of 13:44, 30 May 2018

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Epidural hematoma Microchapters

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Overview

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Pathophysiology

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]

Overview

Pathophysiology

Causes

Differentiating Epidural hematoma from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electroencephalogram | CT | MRI

Treatment

Medical therapy | Surgery | Primary Prevention | Secondary Prevention | Cost Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

See also

Template:Injuries, other than fractures, dislocations, sprains and strains

de:Hirnblutung nl:Epidurale bloeding


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