Epidural hematoma surgery
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Epidural hematoma Microchapters |
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Diagnosis |
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Treatment |
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Epidural hematoma surgery On the Web |
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American Roentgen Ray Society Images of Epidural hematoma surgery |
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Risk calculators and risk factors for Epidural hematoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Surgical intervention is not recommended for the management of [disease name].
OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
Indications
- Surgical intervention is not recommended for the management of [disease name].
OR
- Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
- The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
Surgery
- The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
- Surgery is the mainstay of treatment for epidural hematoma.[1][2][3]
- An epidural hematoma greater than 30 cm3 should be surgically evacuated regardless of the patient's Glasgow Coma Scale (GCS) score. An EDH less than 30 cm3 and with less than a 15-mm thickness and with less than a 5-mm midline shift (MLS) in patients with a GCS score greater than 8 without focal deficit can be managed nonoperatively with serial computed tomographic (CT) scanning and close neurological observation in a neurosurgical center.[4]
- Acute epidural hematoma with a small amount of bleeding(less than 50 mL)may be treated by minimal invasive surgery methods which avoids craniotomy.[5]
Contraindications
References
- ↑ Khan MB, Riaz M, Javed G, Hashmi FA, Sanaullah M, Ahmed SI (2013). "Surgical management of traumatic extra dural hematoma in children: Experiences and analysis from 24 consecutively treated patients in a developing country". Surg Neurol Int. 4: 103. doi:10.4103/2152-7806.116425. PMC 3766325. PMID 24032078.
- ↑ Habibi Z, Meybodi AT, Haji Mirsadeghi SM, Miri SM (2012). "Burr-hole drainage for the treatment of acute epidural hematoma in coagulopathic patients: a report of eight cases". J Neurotrauma. 29 (11): 2103–7. doi:10.1089/neu.2010.1742. PMID 22216933.
- ↑ Korinth M, Weinzierl M, Gilsbach JM (2002). "[Treatment options in traumatic epidural hematomas]". Unfallchirurg. 105 (3): 224–30. PMID 11995217.
- ↑ Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW; et al. (2006). "Surgical management of acute epidural hematomas". Neurosurgery. 58 (3 Suppl): S7–15, discussion Si-iv. PMID 16710967.
- ↑ Wang W (2016). "Minimally Invasive Surgical Treatment of Acute Epidural Hematoma: Case Series". Biomed Res Int. 2016: 6507350. doi:10.1155/2016/6507350. PMC 4837251. PMID 27144170.
Overview
Surgery
As with other types of intracranial hematomas, the blood may be aspirated surgically to remove the mass and reduce the pressure it puts on the brain.[1] The hematoma is neurosurgically evacuated through a burr hole or craniotomy. The diagnosis of epidural hematoma requires a patient to be cared for in a facility with a neurosurgeon on call to decompress the hematoma if necessary and stop the bleed by ligating the injured vessel branches.
- ↑ McCaffrey P. 2001. "The Neuroscience on the Web Series: CMSD 336 Neuropathologies of Language and Cognition." California State University, Chico. Retrieved on February 6, 2007.