Epidural Intracranial Hematoma

An epidural intracranial hematoma is a tearing of the blood vessels inside the dural membrane, leading to bleeding inbetween the membrane and the skull. This occurs following a head injury.

Symptoms of an Epidural Intracranial Hematoma

  • Severe headache.
  • Temporary unconsciousness.
  • Dizziness.
  • Vomiting.
  • Dilated pupil on the affected side.
  • Muscle weakness on the opposite side.

Causes

Epidural hematomas are rare injuries which occur following an impact to the head. This may occur following a sporting injury such as a ball hitting the head or an impact with another player. Alternatively it may occur after a fall onto the head or a road traffic accident.

Epidural hematomas are found in only around 1 to 4% of all traumatic head injuries. They occur most frequently in adolescents and young adults and are hardly ever present in those over 50.

Treatment

  • Seek medical attention immediately.
  • A CT scan or MRI scan will be used to confirm the diagnosis and determine the extent of bleeding.
  • Surgery is usually undertaken to drain the blood and stop the bleeding.
  • The patient is then closely monitored for signs of continued bleeding or pressure build-up in the skull.
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