Doctor insights on:
Medicine For Epidural Hematoma
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
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
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
CT without contrast: An epidural hematoma is diagnosed by ct without contrast revealing a convex hyperdensity. ...Read more
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
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
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
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
Likely: If the hematoma affects the nerves, as is likely, the person will have pain. ...Read more
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
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
Why do textbooks emphasize that an epidural hematoma would affect cniii more than any other cranial nerve?
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
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
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
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
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
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
Odds of posterior epidural hematoma after hitting head on car approximately 11 hours out. No loss of conscienceless, or vomiting. Was lethargic though?
1 yr old with epidural hematoma. Brain shifted to right side. Craniotomy preformed removing large hematoma. Linear fracture. What can we expect now?
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
Yes: Yes, in moderation.Get a more detailed answer ›
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
On front of my lower leg I noticed a grayish pink, tender bruise at 2 weeks postpartum, and at 6 mo. It's still there. Side effect of epidural swelling?
No: By drug test do you mean a test for illicit drugs? No. ...Read more