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Paediapaedia: Neurological Diseases

Epidural Hematoma, Acute

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Clinical Presentation:
The typical adult symptoms are an initial loss of consciousness followed by a transient lucent interval. In children the symptoms are a rapid loss of consciousness progressing from drowsiness to stupor to coma.

Etiology/Pathophysiology:
Blunt trauma to a limited area of the skull causing inbending of the skull and stripping of the dura from the inner table during rebound with associated tearing of interposed vessels.

Pathology:
Not applicable

Imaging Findings:
Is more localized in children than in adults and produces more mass effect. Concomitant skull fractures are seen in only 40%. Computed tomography shows a lens shaped high intensity collection of blood.

DDX:

References:
See References Chapter.

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See related Provider Topics Brain and Nervous System, Head and Brain Injuries or Injuries and Wounds.

See related Patient Topics Brain and Nervous System, Head and Brain Injuries or Injuries and Wounds.


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