Epidural hematoma history and symptoms: Difference between revisions
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{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{MMJ}} | ||
==Overview== | ==Overview== | ||
==History and Symptoms== | ==History and Symptoms== | ||
*The hallmark of epidural hematoma is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of epidural hematoma. The most common symptoms of epidural hematoma include [symptom 1], [symptom 2], and [symptom 3]. | |||
*The hallmark of | |||
*Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. | *Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. | ||
===History=== | ===History=== | ||
Patients with | Patients with epidural hematoma may have a positive history of: | ||
*[History finding 1] | *[History finding 1] | ||
*[History finding 2] | *[History finding 2] | ||
| Line 20: | Line 17: | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
*In traumatic cases of epidural hematoma, patients may develop signs and symptoms right after trauma, or weeks after that.<ref name="pmid16673239">{{cite journal| author=Radulovic D, Janosevic V, Djurovic B, Slavik E| title=Traumatic delayed epidural hematoma. | journal=Zentralbl Neurochir | year= 2006 | volume= 67 | issue= 2 | pages= 76-80 | pmid=16673239 | doi=10.1055/s-2006-933359 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16673239 }} </ref> | |||
*[ | *Some patients with epidural hematoma may experience a lucid interval with is a period of time in which patient regains consciousness after a short period of unconsciousness. after lucid interval the sign and symptoms of epidural hematoma may get worse.<ref name="pmid7124188">{{cite journal| author=Mohsenipour I, Kostron H, Russegger L| title=[The lucid interval in epidural hematoma]. | journal=Zentralbl Neurochir | year= 1982 | volume= 43 | issue= 2 | pages= 121-8 | pmid=7124188 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7124188 }} </ref> | ||
* | *Common symptoms of epidural hematoma include:<ref name="pmid22325415">{{cite journal| author=Scheibl A, Calderón EM, Borau MJ, Prieto RM, González PF, Galiana GG| title=Epidural hematoma. | journal=J Pediatr Surg | year= 2012 | volume= 47 | issue= 2 | pages= e19-21 | pmid=22325415 | doi=10.1016/j.jpedsurg.2011.10.078 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22325415 }} </ref><ref name="pmid24760464">{{cite journal| author=Kao FC, Tsai TT, Chen LH, Lai PL, Fu TS, Niu CC et al.| title=Symptomatic epidural hematoma after lumbar decompression surgery. | journal=Eur Spine J | year= 2015 | volume= 24 | issue= 2 | pages= 348-57 | pmid=24760464 | doi=10.1007/s00586-014-3297-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24760464 }} </ref><ref name="pmid23320175">{{cite journal| author=Chen H, Guo Y, Chen SW, Wang G, Cao HL, Chen J et al.| title=Progressive epidural hematoma in patients with head trauma: incidence, outcome, and risk factors. | journal=Emerg Med Int | year= 2012 | volume= 2012 | issue= | pages= 134905 | pmid=23320175 | doi=10.1155/2012/134905 | pmc=3536037 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23320175 }} </ref> | ||
severe headache | |||
nausea and vomiting | |||
Dizziness. | |||
Drowsiness or altered level of alertness. | |||
Enlarged pupils | |||
Visual problems | |||
Weakness(may be unilateral) | |||
Slurred speech | |||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of | Less common symptoms of epidural hematoma include | ||
* | |||
* | *Lethargy | ||
* | *Seizures | ||
*Unconsciousness | |||
==References== | ==References== | ||
Revision as of 16:09, 11 June 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
History and Symptoms
- The hallmark of epidural hematoma is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of epidural hematoma. The most common symptoms of epidural hematoma include [symptom 1], [symptom 2], and [symptom 3].
- Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History
Patients with epidural hematoma may have a positive history of:
- [History finding 1]
- [History finding 2]
- [History finding 3]
Common Symptoms
- In traumatic cases of epidural hematoma, patients may develop signs and symptoms right after trauma, or weeks after that.[1]
- Some patients with epidural hematoma may experience a lucid interval with is a period of time in which patient regains consciousness after a short period of unconsciousness. after lucid interval the sign and symptoms of epidural hematoma may get worse.[2]
- Common symptoms of epidural hematoma include:[3][4][5]
severe headache nausea and vomiting Dizziness. Drowsiness or altered level of alertness. Enlarged pupils
Visual problems
Weakness(may be unilateral)
Slurred speech
Less Common Symptoms
Less common symptoms of epidural hematoma include
- Lethargy
- Seizures
- Unconsciousness
References
- ↑ Radulovic D, Janosevic V, Djurovic B, Slavik E (2006). "Traumatic delayed epidural hematoma". Zentralbl Neurochir. 67 (2): 76–80. doi:10.1055/s-2006-933359. PMID 16673239.
- ↑ Mohsenipour I, Kostron H, Russegger L (1982). "[The lucid interval in epidural hematoma]". Zentralbl Neurochir. 43 (2): 121–8. PMID 7124188.
- ↑ Scheibl A, Calderón EM, Borau MJ, Prieto RM, González PF, Galiana GG (2012). "Epidural hematoma". J Pediatr Surg. 47 (2): e19–21. doi:10.1016/j.jpedsurg.2011.10.078. PMID 22325415.
- ↑ Kao FC, Tsai TT, Chen LH, Lai PL, Fu TS, Niu CC; et al. (2015). "Symptomatic epidural hematoma after lumbar decompression surgery". Eur Spine J. 24 (2): 348–57. doi:10.1007/s00586-014-3297-8. PMID 24760464.
- ↑ Chen H, Guo Y, Chen SW, Wang G, Cao HL, Chen J; et al. (2012). "Progressive epidural hematoma in patients with head trauma: incidence, outcome, and risk factors". Emerg Med Int. 2012: 134905. doi:10.1155/2012/134905. PMC 3536037. PMID 23320175.
Overview
History and symptoms
- The most important symptoms of an extradural hemorrhage are:
- Confusion
- Dizziness
- Drowsiness or altered level of alertness
- Enlarged pupil in one eye
- Headache (severe)
- Head injury or trauma followed by loss of consciousness, an period of alertness, then rapid deterioration back to unconsciousness
- Nausea and/or vomiting
- Weakness of part of the body, usually on the opposite side from the side with the enlarged pupil
- The symptoms usually occur within minutes to hours after a head injury and indicate an emergency situation.
As the hematoma expands, it strips the dura from the inside of the skull, causing an intense headache. Epidural bleeds can become large and raise intracranial pressure, causing the brain to shift, lose blood supply, or be crushed against the skull. Larger hematomas cause more damage. Epidural bleeds can quickly expand and compress the brain stem, causing unconsciousness, abnormal posturing, and abnormal pupil responses to light.[1] In the hallmark of epidural hematoma, patients may regain consciousness during what is called a lucid interval, only to descend suddenly and rapidly into unconsciousness later. The lucid interval, which depends on the extent of the injury, is a key to diagnosing epidural hemorrhage. If the patient is not treated with prompt surgical intervention, death is likely to follow.[2]
References
- ↑ Singh J and Stock A. 2006. "Head Trauma." Emedicine.com. Retrieved on February 6, 2007.
- ↑ Caroline NL. 1991. Emergency Medical Treatment. Little Brown & Company.