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Case study 56 - Epidural hematoma An epidural hematoma (EDH) occurs when blood accumulates between the skull and the dura mater, the thick membrane covering the brain. • They typically occur when a skull fracture tears an underlying blood vessel. • EDHs are about half as common as a subdural hematoma and usually occur in young adults. • Classic symptoms of EDH involve brief loss of consciousness followed by a period of awareness that may last several hours before brain function deteriorates, sometimes leaving the patient in a coma. • If untreated, the condition can cause increased blood pressure, difficulty breathing, damage to brain function and death. • Other symptoms include headache, vomiting and seizure. • A small EDH with no pressure on the brain can be treated without surgery. • Severe headache and deterioration of brain function, or an EDH larger than 1 cm at its thickest point, generally indicates surgery is necessary. • Surgeons treat EDH by removing the clot to lower pressure on the brain and stopping bleeding to prevent the hematoma from returning. See more case studies with Dr. Grunch! Case study 55 about a cervical spinal cord injury - • Case study 55 - Motorcycle accident with c... #neurosurgery #casestudy #sundaycasestudy #ladyspinedoc #healthcareworker #hospital #surgery #neurosurgeon #medicalschool #medstudent #medicalstudent #nursing #pastudent #paschool #nursingschool #trauma #headinjury #emergencyroom #traumasurgery #epidural #epiduralhematoma #edh #subduralhematoma #learnonyoutube