Epidural Hematoma

Overview


Plain-Language Overview

Epidural Hematoma is a serious condition where blood collects between the skull and the outer layer of the brain called the dura mater. It usually happens after a head injury that causes a blood vessel to rupture, leading to pressure on the brain. This pressure can cause symptoms like a severe headache, confusion, weakness, or loss of consciousness. The brain is part of the central nervous system, and increased pressure can damage brain tissue and affect vital functions. Immediate medical attention is critical because the condition can worsen quickly. Diagnosis often involves imaging tests to see the blood collection. Treatment typically requires surgery to remove the blood and relieve pressure.

Clinical Definition

Epidural Hematoma (EDH) is a type of traumatic intracranial hemorrhage characterized by the accumulation of blood in the potential space between the inner table of the skull and the dura mater. It most commonly results from a rupture of the middle meningeal artery due to a temporal bone fracture following blunt head trauma. The expanding hematoma causes mass effect and increased intracranial pressure, leading to rapid neurological deterioration. Clinically, patients may present with a lucid interval followed by loss of consciousness, headache, vomiting, and focal neurological deficits. EDH is a neurosurgical emergency because delayed treatment can result in herniation and death. The condition is distinguished from other intracranial hemorrhages by its characteristic biconvex (lentiform) shape on imaging.

Inciting Event

Locked content.

Latency Period

Locked content.

Diagnostic Delay

Locked content.

Clinical Presentation


Signs & Symptoms

Locked content.

History of Present Illness

Locked content.

Past Medical History

Locked content.

Family History

Locked content.

Physical Exam Findings

Locked content.

Diagnostic Workup


Diagnostic Criteria

Locked content.

Pathophysiology


Key Mechanisms

Locked content.

Organs

Locked content.

Tissues

Locked content.

Cells

Locked content.

Chemical Mediators

Locked content.

Treatments


Pharmacological Treatments

Locked content.

Non-pharmacological Treatments

Locked content.

Prevention


Pharmacological Prevention

Locked content.

Non-pharmacological Prevention

Locked content.

Outcome & Complications


Complications

Locked content.

Short-term Sequelae

Locked content.

Long-term Sequelae

Locked content.

Differential Diagnoses


Differentials

Locked content.

Medical Disclaimer: The content on this site is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. If you think you may be experiencing a medical emergency, call 911 or your local emergency number immediately. Always consult a licensed healthcare professional with questions about a medical condition.

Artificial Intelligence Use: Portions of this site's content were generated or assisted by AI. All material has been reviewed by Erik Romano, MD, however, errors or omissions may still occur.

USMLE® is a registered trademark of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). Doctogenic and Roscoe & Romano are not affiliated with, sponsored by, or endorsed by the USMLE, FSMB, or NBME. Neither FSMB nor NBME has reviewed or approved this content. “USMLE Step 1” and “USMLE Step 2 CK” are used only to identify the relevant examinations.