scholarly journals Short Review on: Teaching Approach for Head Injury with Epidural Hematoma

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Elbaih Adel Hamed ◽  
Bashmail Yasser Yousef
Author(s):  
B.G. Benoit ◽  
N.A. Russell ◽  
M.T. Richard ◽  
H. Hugenholtz ◽  
E.C.G. Ventureyra ◽  
...  

SUMMARY:Epidural hematomas occasionally have a prolonged clinical course with gradual evolution of the neurologic symptoms. Seven such cases are reviewed in this report. Although the clinical course is insidious, there are certain features which should signal the presence of a slowly expanding hematoma. After an apparently minor head injury, the patient who is usually in the younger age group, develops headache. This persists and is accompanied by other non-specific neurologic symptoms which may lead to a mistaken diagnosis of “post-concussion syndrome”. Papilledema and focal neurologic deficits eventually appear. Definitive diagnosis is made by the CT scan, although contrast enhancement may be necessary to confirm the nature of the lesion. The treatment is craniotomy and evacuation of the hematoma before serious neurologic deterioration occurs.


2005 ◽  
Vol 62 (9) ◽  
pp. 679-682
Author(s):  
Danilo Radulovic ◽  
Vesna Janosevic ◽  
Miodrag Rakic ◽  
Branko Djurovic ◽  
Eugen Slavik ◽  
...  

Background. Traumatic delayed epidural hematoma (DEH) can be defined as insignificant or not seen on the initial CT scan performed after a trauma but seen on the subsequent CT scan as a ?massive? epidural bleeding. Case report. We presented two cases of traumatic DEH after mild head injury. Both patients were conscious and without neurological deficit on the admission. Initial CT scan did not reveal intracranial hematoma. Repeated CT scan, that was performed after neurological deterioration, revealed epidural hematoma in both cases. The patients were operated with a favorable surgical outcome. Conclusion. Traumatic DEH could occur in the patients with head injuries who were conscious on the admission with a normal initial CT scan finding. Early detection of DEH and an urgent surgical evacuation were essential for a good outcome.


Neurosurgery ◽  
1988 ◽  
Vol 23 (4) ◽  
pp. 480-484 ◽  
Author(s):  
Tony Feuerman ◽  
Phillip Ashley Wackym ◽  
George F. Gade ◽  
Todd Lanman ◽  
Donald Becker

Abstract Intraoperative development of an epidural hematoma contralateral to a craniotomy for acute traumatic extraaxial hematoma has been previously reported. This entity, however, has never been distinctly defined and differentiated from either the delayed or the bilateral acute epidural hematoma. We present 3 new cases of intraoperative contralateral acute epidural hematoma and review the 14 previously reported cases. The typical clinical presentation is a severe head injury with an acute extraaxial hematoma and severe ipsilateral brain displacement during craniotomy. If brain displacement is not noted at craniotomy, then the contralateral hematoma is manifested by immediate postoperative neurological deterioration or intractable elevated intracranial pressure. The presence of any of these signs makes an immediate postoperative CT scan or burr holes contralateral to the original craniotomy mandatory for early diagnosis. In addition to defining “intraoperative contralateral epidural hematoma,” stricter definitions of the terms “delayed epidural hematoma” (no hematoma present on the initial CT scan but one present on a later scan) and “bilateral epidural hematomas” (present on the initial scan) are proposed.


2007 ◽  
Vol 3 (2) ◽  
pp. 77
Author(s):  
Jae-Won Jung ◽  
Sang-Gu Lee ◽  
Dae-Yong Kim ◽  
Young-Bo Kim ◽  
Chan Woo Park

1978 ◽  
Vol 48 (3) ◽  
pp. 479-482 ◽  
Author(s):  
Robert Goodkin ◽  
John Zahniser

✓ A case is presented in which the delayed development of an acute epidural hematoma within 12 hours of a head injury was documented by serial cerebral angiography. A possible mechanism for the delayed evolution of the epidural hematoma is discussed.


1994 ◽  
Vol 42 (1) ◽  
pp. 65-69 ◽  
Author(s):  
Motoo Nagane ◽  
Hiroshi Oyama ◽  
Soichiro Shibui ◽  
Kazuhiro Nomura ◽  
Yukihiro Nakanishi ◽  
...  

2021 ◽  
Vol 14 (5) ◽  
pp. 410
Author(s):  
Julio J. Secades

Head injury is among the most devastating types of injury, specifically called Traumatic Brain Injury (TBI). There is a need to diminish the morbidity related with TBI and to improve the outcome of patients suffering TBI. Among the improvements in the treatment of TBI, neuroprotection is one of the upcoming improvements. Citicoline has been used in the management of brain ischemia related disorders, such as TBI. Citicoline has biochemical, pharmacological, and pharmacokinetic characteristics that make it a potentially useful neuroprotective drug for the management of TBI. A short review of these characteristics is included in this paper. Moreover, a narrative review of almost all the published or communicated studies performed with this drug in the management of patients with head injury is included. Based on the results obtained in these clinical studies, it is possible to conclude that citicoline is able to accelerate the recovery of consciousness and to improve the outcome of this kind of patient, with an excellent safety profile. Thus, citicoline could have a potential role in the management of TBI.


2001 ◽  
Vol 19 (4) ◽  
pp. 324-325 ◽  
Author(s):  
Joji Inamasu ◽  
Yoshiki Nakamura ◽  
Ryoichi Saito ◽  
Takashi Horiguchi ◽  
Ryuichi Kanai ◽  
...  

Author(s):  
Ruth Jean Tri Apriliyanty Pandiangan

Epidural hematoma (EDH) is the type of intracranial haemorrhage due to head injury that occur most frequently. EDH volume usually stable and can reach the maximum volume in only a few minutes or hours after traumatized. EDH being attentive to the clinicians and researchers because of the enforcement diagnosis that is relatively easy and the rate of success in operation is quite high and EDH located in temporal region contributed to increasing the mortality due to respiratory arrest from uncal herniation because of brainstem compression.  Measuring degrees severity EDH the most common and much worn in international is glasgow coma scale (GCS)  because it has a high level of validity; reliability, sensitivity and specificity. This research was conducted to see correlation between EDH volume in temporal region with GCS in patients with head injury. Research conducted is analytic observation with cross-sectional approached study. The study sample is 45 epidural hematoma patients in temporal region at productive age (18-59 years) who had diagnosed and got the best act of resuscitating to know the score GCS at H. Adam Malik General Hospital in 2018 who had met the inclusion and exclusion criteria. The technique of taking data is consecutive sampling from medical record. Statistically there are negative relations between GCS to the volume of  EDH patients based on the results of the CT scan (p<0,001, CI 95 %) with the 0,619 relations that is indicative of the strength of the relations which is very strong.


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