epidural hemorrhage

epidural hemorrhage

Haemorrhage into the epidural space, which occurs in 10% of patients with severe head trauma; 80% are associated with skull fractures, especially of the temporal bone; many of these disrupt the middle meningeal artery, veins, dural-venous sinuses, and skull vessels.

Clinical findings
Continued bleeding causes intracranial hypertension, uncal herniation and, if untreated, death.
References in periodicals archive ?
However, there has been no report to date of its use in transplant kidney salvage, particularly in the setting of spinal epidural hemorrhage. The AngioVac was a particularly attractive option in this case with extensive clot burden due to the device's large caliber, high suction pressure (up to 80 mm Hg) and repletion of autologous intravascular volume through a reperfusion catheter without the need for blood transfusions.
Complication with spontaneous spinal epidural hemorrhage (SSEH) is exceptionally rare, with only few case reports[2],[3],[4],[5],[6],[7] proposed up to date.
Likewise, a rapid neurological deterioration was observed in the current case that is why we had initially diagnosed it as spinal epidural hemorrhage. Sudden onset or worsening of neurological findings occurred when there is a rapid increase in tumor size of angiolipomas due to intratumoral thrombosis, massive acute hemorrhage, or steal phenomenon [5, 7-9].
There was also a mild-to-moderate degree of spinal stenosis at T5-T6 due to extrinsic mass effect of the epidural hemorrhage but no direct spinal cord compression (Figures 1(a) and 1(b)).
(7) Children are more predisposed for epidural hemorrhage at this level due to their higher fulcrum of cranial cervical motion and relative ligamentous laxity.
Chen, "Paraplegia caused by aortic coarctation complicated with spinal epidural hemorrhage," American Journal of Emergency Medicine, vol.
Among patients having positive CT scan findings epidural hemorrhage was found in 2 (1.5%) intraparenchymal hemorrhage with fracture in 3 (2.2%) skull fracture in 3 (2.2%) and 1 (0.7%) patient had subdural hemorrhage.
* 4 Class C (fractured wrist; fractured orbital, fractured right maxillary, right frontal epidural hemorrhage, right distal fracture; fractured feet; fractured wrist, concussion)
An epidural hemorrhage such as this can cause dramatic deterioration in a person's condition within a matter of minutes or up to a few hours later.
An autopsy concluded that Richardson died of an epidural hemorrhage, a condition in which blood builds up between the skull and the tough membrane that surrounds the brain.
She was taken to the emergency room, where she soon died of an epidural hemorrhage. Pam Miller, individually and as personal representative of the patient's estate, brought suit against Levering for wrongful death and lost chance of survival.
Additional findings uncovered by MRI included cord compressions (five patients), cord contusion/edema (four), ligamentous injuries (three), epidural hemorrhage (two), and prevertebral edema (one).