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Doctor insights on: Medicine For Epidural Hematoma

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Is an epidural hematoma possible?

Is an epidural hematoma possible?

Yes: Epidural hematomas can occur after significant head trauma, particularly skull fractures. A ct scan can be used for diagnosis. Typically, a neurosurgeon will be asked to manage this problem. ...Read more

Dr. Milroy Samuel
2 Doctors shared insights

Epidural (Definition)

The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more


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Epidural hematoma help explain it please?

Collection of blood: An epidural hematoma is a collection of blood between the brain and skull caused by arterial bleeding. The accumulation of blood can cause an increase in pressure within the skull leading to headache, seizures, decreased conciousness, and brain herniation if untreated. It is diagnosed by ct without contrast. ...Read more

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What are the most common symptoms of epidural hematoma?

What are the most common symptoms of epidural hematoma?

Headache: An epidural hematoma typically refers to blood that acumulates between the brain and the skull after rupture of an artery secondary to trauma. The classic presentation is head trauma that causes a loss of consciousness followed by awakening and then progressive confusion and pain as the bleeding progresses. Epidural hematomas are typically quickly progressive and thus require rapid treatment. ...Read more

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Help me to find specific diagnosis for epidural hematoma?

Help me to find specific diagnosis for epidural hematoma?

CT without contrast: An epidural hematoma is diagnosed by ct without contrast revealing a convex hyperdensity. ...Read more

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What is the definition or description of: epidural hematoma?

What is the definition or description of: epidural hematoma?

Blood over brain: The brain is covered by meninges. With trauma, bleeding could occur underneath the coverings, such as a "subdural hematoma". With epidural, we have bleeding above the dura covering. May occur due to skull fracture over the temple which lacerates the middle meningeal artery. ...Read more

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Why are people able to think more clearly after an epidural hematoma?

Unconnected: If a patient makes a complete recovery from an epidural hematoma, they should be the same as they were before the bleed. If recovery isn't complete, there will be some type of neurological impairment that is permanent. A person will not think better than they did as a result of an epidural hematoma. The two events are unconnected. ...Read more

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Subdural vs epidural hematoma, what are the differences?

Subdural vs epidural hematoma, what are the differences?

Anatomy: The dura is a tough sheet of tissue that covers your entire brain and spinal cord. If the blood accumlates underneath the dura, it is subdural bleeding. Outside of the dura, epidural bleeding. ...Read more

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Why is an epidural hematoma so deadly?

Risk of Herniation: Epidural hematoma entails blood building up outside of the brain. Because brain is confined within rigid skull, accumulation of blood will gradually cause an increase in pressure within the skull cavity & compress brain tissue; it can even cause the brain to herniate out through the skull where the spinal cord originates, leading to a coma and/or irreversible brain damage. ...Read more

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What is more severe, subdural or epidural hematoma?

Depends: If you are referring to outcomes, subdural hematomas generally have a worse outcome. This may because these tend to be in older patients and are associated with a rotational component. The blood is also pushing directly on the brain. If you are referring to rapidity of deterioration although both can have a rapid decline, classically, the epidural is more rapid because it is an artery bleeding. ...Read more

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Do people with epidural hematoma have a lot of pain?

Likely: If the hematoma affects the nerves, as is likely, the person will have pain. ...Read more

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What cpt code do I use for evacuation of epidural hematoma?

61312: This is the code for evacuation of a hematoma above the tentorium, on the surface of the brain. 61314 would be under the tentorium. ...Read more

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What is recovery time after a craniotomy to remove a epidural hematoma?

Variable: It is dependent on the condition one is in at the time of surgery, the age of pt (or to be more exact the physiological age--some 70 yo are more like 50 yo physiologically), and other medical problems the pt may have.
The surgeon should be able to give you a ballpark figure. ...Read more

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Nursing care at home after epidural hematoma?

Depends on how bad: This type of injury can be minor or severe. They may have trouble talking, walking swallowing and thinking. Or they might just have a bad headache. The problems that the epidural caused need to be dealt with. ...Read more

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Can epidural hematoma lead to cerebral problem?

Possible: An epidural hematoma is a brain bleed occurring outside of the brain but within the skull. This accumulation of blood can cause an increase in pressure within the skull leading to brain distention/herniation. This, in turn, can lead to irreversible damage to the cerebral cortex and or the brain stem if left untreated. ...Read more

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Why do textbooks emphasize that an epidural hematoma would affect cniii more than any other cranial nerve?

Why do textbooks emphasize that an epidural hematoma would affect cniii more than any other cranial nerve?

Anatomy: It is injured due to the mass effect caused by the epidural hematoma resulting in midline shift and compression of the occulomotor nerve as the brain begins to herniate. ...Read more

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Could epidural hematoma lead to cerebral hypoxia?

Yes: Imagine a pressure on one side of the brain from the skull, pushing that side of the brain compressing all the tissues including the blood vessels causing brain hypoxia on one side. It then pushes the whole brain and shifts to the brain against the unyielding skull to the other side, compressing the tissues there also (counter coup effect). That is epidural hematoma without surgical treatment. ...Read more

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How long before you can go homel after brain epidural hematoma?

Depends: This depends on the complexity and other injuries. In a isolated epidural hematoma that is evacuated rapidly, patients may go home the next day. A lot depends on the size, time after injury, neurological status after the surgery. In general, most require a few days to recover before going home. ...Read more

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Could you give yourself a epidural hematoma or subdural hematoma?

Self inflicted: Yes if bang your head with force against wall or other hard object. Driving when you should not and getting into accident causing head injury and severe sports head injury. ...Read more

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Can you fall and get yourself a epidural hematoma or subdural hematoma?

Can you fall and get yourself a epidural hematoma or subdural hematoma?

Yes: Acceleration/deceleration injuries (like falling or a car accident) are typically associated with subdural hematomas. On impact, the brain shifts within the skull causing bridging veins to rupture leading to a slow accumulation of blood within the meningeal layers. ...Read more

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Is it possible to I've yourself an epidural hematoma or subdural hematoma?

Yes: If you hit your head forcefully from a fall or a collision with something you can have a skull fracture that leads to the epidural or you can tear a bridging vein that leads to the subdural. ...Read more

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What's epidural hematoma -- blood clot on the brain?

Epidural hematoma: Epidural hematomas also happen in the spine. Though most occur spontaneously they can occur after an epidural, spinal, or myelogram. This is usually due to the patient being on blood thinners or have conditions like vonwhilenbron's disease. It is a surgical emergency as paralysis will happen if the hematoma is not removed. ...Read more

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I am a flight attendant and had a craniotomy to remove an epidural hematoma. How long before I can fly again? How will pressurization affect my head?

Usually a month: Though there is no absolute correct answer, but generally a month should be safe in many situations. Your neurosurgeon is the only one who can tell you the best answer for your particular situation. Note that if there neurological problems from having the epidural bleed, the length of time out of work could be longer. ...Read more

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After a hit near temple region, does epidural hematoma former immediately, hours? After 2 days should I be good? Still feel nausea and groggy.

Yes hrs: Epidural hematoma expands rapidly and within a few hrs a person develops neurological deterioration with a loss consciousness from a mass effect so you do not have an epidural bleed. Check with a neurologist if your symptoms of nausea and grogginess persist ...Read more

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Can you tell me about epidural hematoma (blood clot on the brain)?

Can you tell me about epidural hematoma (blood clot on the brain)?

Epidural: More severe than subdural w more rapid onset of symptoms. Caused by arterial bleed and significant pressure on brain as arterial blood continues to pump into epidural space and compress braid. Rapid neuro surgical intervention required. ...Read more

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When are you in the clear from life threatening complications after mild concussion like epidural hematoma, etc. My CT scan was normal. So was exam.

You are!: With a mild concussion, a normal exam and a normal ct have ruled out a serious problem. As far as the concussion, take it easy until you are free of any residual symptoms. ...Read more

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1 yr old with epidural hematoma. Brain shifted to right side. Craniotomy preformed removing large hematoma. Linear fracture. What can we expect now?

How long ago?: If recent, healing and improvement time is essential. Most children and adults recover from epidural hematomas well.
You should expect limitations on activity, be careful what the child does, close monitoring, and give it time to heal. ...Read more

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What is the usual treatment for an epidural hematoma?

What is the usual treatment for an epidural hematoma?

Depends on symptoms: Depending on the size, symptoms and location, treatment can include anything from observation to an open craniotomy (opening up the head to remove the clot from where is sits just under the skull). ...Read more

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Is it normal to feel slight pain, similar to a bruise, where I received an epidural? Will it go away? Should I talk to the doc about this?

Is it normal to feel slight pain, similar to a bruise, where I received an epidural? Will it go away? Should I talk to the doc about this?

Yes: Both skin local with a small needle, and the larger epidural needle, are used for the epidural itself. Also, multiple attempts may be made before success. Therefore, some of that type of pain is expected. However, any incresing pain, leg weakness or bowel or bladderdysfunction after the numbing is worn off should be reported to a doctor right away. ...Read more

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Would an epidural morphine show up in a drug screen?

Would an epidural morphine show up in a drug screen?

Drug screen: Really good question. Duramorph is morphine that is used in the epidural space. Typically a small amount is used (3-5mg), but it does distribute throughout the body. It is possible that a very sensitive drug screen could pick up morphing or its metabolites. ...Read more

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Is cervical medial branch block a type of epidural block? Or just giving medicines around the medial branch nerve?

Two kinds: Cervical medial branch block can be done with just pain numbing drugs or by radiofrequency ablation which lasts months. These procedures block the medical branch of the pain fibers without invading the spinal canal. This is also done in the lumbar area. ...Read more

Dr. Dariush Saghafi
71 Doctors shared insights

Epidural Hematoma (Definition)

The brain is covered by meninges. With trauma, bleeding could occur underneath the coverings, such as a "subdural hematoma". With epidural, we have bleeding above the dura covering. May occur due to skull fracture over the temple which lacerates ...Read more


Dr. Mark Pack
558 Doctors shared insights

Hematoma (Definition)

A condition in which there has been bleeding between the scalp and the skull, and the blood is trapped under the scalp, forming a blood-filled bulge. Can usually ...Read more