Epidural hematoma pathophysiology
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Epidural hematoma Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Pathophysiology
Pathogenesis
- Epidural hematoma is the result of the bleeding within the epidural space, which lies between dura mater and skull bone.[1]
- The main cause of epidural hematoma is typically head injury that results in a break of the temporal bone and bleeding from the middle meningeal artery in the epidural space.[2][3][4][5]
- Because the bleeding is caused by arterial rupture, it has a high tendency to progress and it causes a hematoa in epidural space.
- Progression of bleeding may expand the hematoma and cause increasing of the intracranial pressure and it may lead to brain herniation.[6]
- Occasionally epidural hematoma may occur as a result of a bleeding disorder or blood vessel malformation or after CNS surgery or lumbar acupunctures or Spinal injections or metastatic cancer and sometimes is may occur spontaneously.[7][8][9][10][11]
Associated Conditions
- Head trauma[5][4]
- Bleeding disorders[7]
- Blood vessel malformation[8]
- CNS surgery[9]
- Sickle Cell Anemia[12][13]
- Kummell's disease[14]
- Dengue virus infection[15]
- Lumbar acupunctures[10]
- Spinal injections[16][17]
- Metastatic cancer[11]
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Epidural hematoma Microchapters |
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Diagnosis |
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Treatment |
|
Case Studies |
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Epidural hematoma pathophysiology On the Web |
|
American Roentgen Ray Society Images of Epidural hematoma pathophysiology |
|
Risk calculators and risk factors for Epidural hematoma pathophysiology |
Overview
References
- ↑ 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.
- ↑ Yu J, Guo Y, Xu B, Xu K (2016). "Clinical importance of the middle meningeal artery: A review of the literature". Int J Med Sci. 13 (10): 790–799. doi:10.7150/ijms.16489. PMC 5069415. PMID 27766029.
- ↑ Yanagawa Y, Sakamoto T, Okada Y (2007). "Clinical features of temporal tip epidural hematomas". J Neurosurg. 107 (1): 18–20. doi:10.3171/JNS-07/07/0018. PMID 17639868.
- ↑ 4.0 4.1 Maugeri R, Anderson DG, Graziano F, Meccio F, Visocchi M, Iacopino DG (2015). "Conservative vs. Surgical Management of Post-Traumatic Epidural Hematoma: A Case and Review of Literature". Am J Case Rep. 16: 811–7. PMC 4652627. PMID 26567227.
- ↑ 5.0 5.1 Mitsuyama T, Ide M, Kawamura H (2004). "Acute epidural hematoma caused by contrecoup head injury--case report". Neurol Med Chir (Tokyo). 44 (11): 584–6. PMID 15686177.
- ↑ 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.
- ↑ 7.0 7.1 Morsing IE, Brons P, Th Draaisma JM, van Lindert EJ, Erasmus CE (2009). "Hemophilia a and spinal epidural hematoma in children". Neuropediatrics. 40 (5): 245–8. doi:10.1055/s-0030-1248247. PMID 20221963.
- ↑ 8.0 8.1 Paraskevopoulos D, Magras I, Polyzoidis K (2013). "Spontaneous spinal epidural hematoma secondary to extradural arteriovenous malformation in a child: a case-based update". Childs Nerv Syst. 29 (11): 1985–91. doi:10.1007/s00381-013-2214-5. PMID 23812629.
- ↑ 9.0 9.1 Kim B, Moon SH, Kim SY, Kim HJ, Lee HM (2010). "Delayed Spinal Epidural Hematoma after En Block Spondylectomy for Vertebral Ewing's Sarcoma". Asian Spine J. 4 (2): 118–22. doi:10.4184/asj.2010.4.2.118. PMC 2996623. PMID 21165315.
- ↑ 10.0 10.1 Chen CY, Liu GC, Sheu RS, Huang CL (1997). "Bacterial meningitis and lumbar epidural hematoma due to lumbar acupunctures: a case report". Kaohsiung J Med Sci. 13 (5): 328–31. PMID 9226976.
- ↑ 11.0 11.1 Simmons NE, Elias WJ, Henson SL, Laws ER (1999). "Small cell lung carcinoma causing epidural hematoma: case report". Surg Neurol. 51 (1): 56–9. PMID 9952124.
- ↑ Babatola BO, Salman YA, Abiola AM, Okezie KO, Oladele AS (2012). "Spontaneous epidural haematoma in sickle cell anaemia: case report and literature review". J Surg Tech Case Rep. 4 (2): 135–7. doi:10.4103/2006-8808.110271. PMC 3673360. PMID 23741596.
- ↑ Yogarajah M, Agu CC, Sivasambu B, Mittler MA (2015). "HbSC Disease and Spontaneous Epidural Hematoma with Kernohan's Notch Phenomena". Case Rep Hematol. 2015: 470873. doi:10.1155/2015/470873. PMC 4631867. PMID 26576305.
- ↑ Kim HS, Lee SK, Kim SW, Shin H (2011). "Chronic Spinal Epidural Hematoma Related to Kummell's Disease". J Korean Neurosurg Soc. 49 (4): 231–3. doi:10.3340/jkns.2011.49.4.231. PMC 3098428. PMID 21607183.
- ↑ Fong CY, Hlaing CS, Tay CG, Kadir KA, Goh KJ, Ong LC (2016). "Longitudinal extensive transverse myelitis with cervical epidural haematoma following dengue virus infection". Eur J Paediatr Neurol. 20 (3): 449–53. doi:10.1016/j.ejpn.2016.01.012. PMID 26900103.
- ↑ Rosen DA, Hawkinberry DW, Rosen KR, Gustafson RA, Hogg JP, Broadman LM (2004). "An epidural hematoma in an adolescent patient after cardiac surgery". Anesth Analg. 98 (4): 966–9, table of contents. PMID 15041581.
- ↑ Bang J, Kim JU, Lee YM, Joh J, An EH, Lee JY; et al. (2011). "Spinal epidural hematoma related to an epidural catheter in a cardiac surgery patient -A case report-". Korean J Anesthesiol. 61 (6): 524–7. doi:10.4097/kjae.2011.61.6.524. PMC 3249578. PMID 22220233.