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Epidural Hematoma, Classic
Kevin R. Moore, MD; Anne G. Osborn, MD, FACR; Gregory L. Katzman, MD, MBA
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Epidural hematoma (EDH)
              • Definitions

                • Blood collection between inner table of skull and outer (periosteal) layer of dura

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Flaherty BF et al: Repeat head CT for expectant management of traumatic epidural hematoma. Pediatrics. 142(3), 2018
                                        2. Gutowski P et al: Clinical outcome of epidural hematoma treated surgically in the era of modern resuscitation and trauma care. World Neurosurg. 118:e166-74, 2018
                                        3. Kim KM et al: Neurodevelopmental prognostic factors in 73 neonates with the birth head injury. Korean J Neurotrauma. 14(2):80-5, 2018
                                        4. Orlando A et al: Isolated subdural hematomas in mild traumatic brain injury. Part 1: the association between radiographic characteristics and neurosurgical intervention. J Neurosurg. 1-10, 2018
                                        5. Flaherty BF et al: Pediatric patients with traumatic epidural hematoma at low risk for deterioration and need for surgical treatment. J Pediatr Surg. 52(2):334-9, 2017
                                        6. Kumar PM et al: Epidural hematoma secondary to solitary skull metastasis from an ovarian carcinoma. Asian J Neurosurg. 9(2):112-4, 2014
                                        7. Le Roux P et al: Race against the clock: overcoming challenges in the management of anticoagulant-associated intracerebral hemorrhage. J Neurosurg. 121 Suppl:1-20, 2014
                                        8. Shen J et al: Surgery for contralateral acute epidural hematoma following acute subdural hematoma evacuation: five new cases and a short literature review. Acta Neurochir (Wien). 155(2):335-41, 2013
                                        9. Maxwell WL: Traumatic brain injury in the neonate, child and adolescent human: an overview of pathology. Int J Dev Neurosci. 30(3):167-83, 2012
                                        10. Miki S et al: Encapsulated acute subdural hematoma mimicking acute epidural hematoma on computed tomography. Neurol Med Chir (Tokyo). 52(11):826-8, 2012
                                        11. Gean AD et al: Benign anterior temporal epidural hematoma: indolent lesion with a characteristic CT imaging appearance after blunt head trauma. Radiology. 257(1):212-8, 2010
                                        12. De Souza M et al: Nonoperative management of epidural hematomas and subdural hematomas: is it safe in lesions measuring one centimeter or less? J Trauma. 63(2):370-2, 2007
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Epidural hematoma (EDH)
                                                    • Definitions

                                                      • Blood collection between inner table of skull and outer (periosteal) layer of dura

                                                    IMAGING

                                                    • General Features

                                                      • CT Findings

                                                        • MR Findings

                                                          • Angiographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Flaherty BF et al: Repeat head CT for expectant management of traumatic epidural hematoma. Pediatrics. 142(3), 2018
                                                                              2. Gutowski P et al: Clinical outcome of epidural hematoma treated surgically in the era of modern resuscitation and trauma care. World Neurosurg. 118:e166-74, 2018
                                                                              3. Kim KM et al: Neurodevelopmental prognostic factors in 73 neonates with the birth head injury. Korean J Neurotrauma. 14(2):80-5, 2018
                                                                              4. Orlando A et al: Isolated subdural hematomas in mild traumatic brain injury. Part 1: the association between radiographic characteristics and neurosurgical intervention. J Neurosurg. 1-10, 2018
                                                                              5. Flaherty BF et al: Pediatric patients with traumatic epidural hematoma at low risk for deterioration and need for surgical treatment. J Pediatr Surg. 52(2):334-9, 2017
                                                                              6. Kumar PM et al: Epidural hematoma secondary to solitary skull metastasis from an ovarian carcinoma. Asian J Neurosurg. 9(2):112-4, 2014
                                                                              7. Le Roux P et al: Race against the clock: overcoming challenges in the management of anticoagulant-associated intracerebral hemorrhage. J Neurosurg. 121 Suppl:1-20, 2014
                                                                              8. Shen J et al: Surgery for contralateral acute epidural hematoma following acute subdural hematoma evacuation: five new cases and a short literature review. Acta Neurochir (Wien). 155(2):335-41, 2013
                                                                              9. Maxwell WL: Traumatic brain injury in the neonate, child and adolescent human: an overview of pathology. Int J Dev Neurosci. 30(3):167-83, 2012
                                                                              10. Miki S et al: Encapsulated acute subdural hematoma mimicking acute epidural hematoma on computed tomography. Neurol Med Chir (Tokyo). 52(11):826-8, 2012
                                                                              11. Gean AD et al: Benign anterior temporal epidural hematoma: indolent lesion with a characteristic CT imaging appearance after blunt head trauma. Radiology. 257(1):212-8, 2010
                                                                              12. De Souza M et al: Nonoperative management of epidural hematomas and subdural hematomas: is it safe in lesions measuring one centimeter or less? J Trauma. 63(2):370-2, 2007