Extradural hemorrhage

Case contributed by UoE Radiology , 3 Feb 2015
Diagnosis certain
Changed by UoE Radiology, 3 Feb 2015

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This case is a good example of extradural haemorrhage.

These usually occur after trauma (head injury).  When the skull is fractured in high-energy injury, it can lead to tearing of the arteries sitting underneath the bone but above the dura.

It is important to get these bleeds quickly recognised and controlled, usually under direct neurosurgical care.  There can be a "lucid interval" as the brains in these young patients can cope with the increased pressure from a bleed before deteriorating rapidly.  There is also high risk of infection as these are usually open fractures.

CT is the method for imaging in these events as it is quick, widely available and can show bleeds and bone injuries well.

For more information, see the extradural haemorrhage article.

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This case was contributed to Radiopaedia.org by Dr Sandeep Bhuta and the original can be viewed here.  Note, there was no history or: patient attributed to this case, so this vignette was writtenpresentation added to act as a teaching tool for EDH.

  • -<p>This case is a good example of <a title="extradural haemorrhage" href="/articles/extradural-haemorrhage-basic">extradural haemorrhage</a>.</p><p>These usually occur after trauma (head injury).  When the skull is fractured in high-energy injury, it can lead to tearing of the arteries sitting underneath the bone but above the dura.</p><p>It is important to get these bleeds quickly recognised and controlled, usually under direct neurosurgical care.  There can be a "lucid interval" as the brains in these young patients can cope with the increased pressure from a bleed before deteriorating rapidly.  There is also high risk of infection as these are usually open fractures.</p><p>CT is the method for imaging in these events as it is quick, widely available and can show bleeds and bone injuries well.</p><p>For more information, see the <a title="extradural haemorrhage" href="/articles/extradural-haemorrhage-basic">extradural haemorrhage</a> article.</p><p>---</p><p>This case was contributed to Radiopaedia.org by Dr Sandeep Bhuta and the original can be viewed <a title="here" href="/cases/extradural-haematoma">here</a>.  Note, there was no history or patient attributed to this case, so this vignette was written to act as a teaching tool for EDH.</p>
  • +<p>This case is a good example of <a href="/articles/extradural-haemorrhage-basic">extradural haemorrhage</a>.</p><p>These usually occur after trauma (head injury).  When the skull is fractured in high-energy injury, it can lead to tearing of the arteries sitting underneath the bone but above the dura.</p><p>It is important to get these bleeds quickly recognised and controlled, usually under direct neurosurgical care.  There can be a "lucid interval" as the brains in these young patients can cope with the increased pressure from a bleed before deteriorating rapidly.  There is also high risk of infection as these are usually open fractures.</p><p>CT is the method for imaging in these events as it is quick, widely available and can show bleeds and bone injuries well.</p><p>---</p><p>This case was contributed to Radiopaedia.org by Dr Sandeep Bhuta and the original can be viewed <a href="/cases/extradural-haematoma">here</a>.  Note: patient presentation added to act as a teaching tool for EDH.</p>

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