Penatalaaksanaan head up 300 oksigen 23 litermenit ivfd ringer lactate 500 cc8 jam h2 reseptor antagonis ranitidine 50mg8jiv analgetik ketolorac 30mg8jiv antibiotik ceftiraxone 1gr12jiv kraniotomi evakuasi pendarahan diskusi klasifikasi cedera kepala glasgow coma scale definisi epidural hematoma adalah perdarahan akut pada. Epidural hematoma case report free download as word doc. Epidural hematoma secondary to frontal sinusitis has been described previously in the literature. Delayed traumatic spinal epidural hematoma with neurological. Epidural hematoma edh is a traumatic accumulation of blood between the inner table of the skull and the strippedoff dural membrane.
Epidural hematom adalah perdarahan intrakranial yang terjadi karena fraktur tulang tengkorak dalam ruang antara tabula interna kranii dengan duramater hematoma epiduralmerupakan gejala sisa yang serius akibat cedera kepala dan menyebabkan angka mortalitas sekitar 50%. Surgical management of acute epidural hematomas request pdf. Trauma or other injury to your head can cause your brain to bounce. Brownsequard syndrome is commonly seen in the setting of. Epidural hematoma history trauma etiology laceration of middle meningeal artery finding lensbiconvex shape hyperdensity midline shift no cross suture mass effect ventricular compression displacement of grey white interface take home message. Epidural hematomas edh are pa thologies in which the early diagnosis and treatment are important. Spontaneous spinal epidural hematoma sseh is an uncommon clinical entity.
Jan 26, 2018 subdural hematoma sdh and epidural hematoma edh are characterized by bleeding into the spaces surrounding the brain or spinal cord. Hematoma epidural y subdural by azael limon on prezi. Epidural hematoma trh11 2 body has no mechanism for absorption of extradural hemorrhage clotted blood remains in epidural space as tumor until it is. The fractured bone lacerates a dural artery or a venous sinus.
Jul 20, 2008 spontaneous spinal epidural hematoma sseh is a relatively rare disease. Sdhs form between the dura and the arachnoid membranes edhs arise in the potential space between the dura and the skull. Pendahuluan epidural hematom adalah salah satu jenis perdarahan. Epidural hematomas definition of epidural hematomas by. The full text of this article is available in pdf format. Since the spine is also covered by the dura mater, epidural bleeds may also take place in the spinal column. Hematoma epidural terjadi akibat trauma kepala, yang biasanya berhubungan dengan fraktur tulang tengkorak dan laserasi pembuluh darah. Epidural hematoma definition and patient education. Left frontal epidural hematoma evacuation by craniotomy. Delayed traumatic spinal epidural hematoma with neurological deficits 479 to highlight that magnetic resonance angiography is not a gold standard to spine injuries. Epidural hematoma edh is an easily treated form of head injury that is often associated with a good prognosis. Spontaneous epidural hematoma of thoracic spine presenting as. This condition is an extremely rare postoperative complication of ventriculoperitoneal shunt and contralateral.
Trauma to be brain can be associated with both epidural and subdural hematomas, among other injuries. Epidural or extradural hematomacausessignsdizziness,pupil. The blood from the ruptured vessel collects between the skull and dura. An epidural hematoma occurs when a mass of blood forms in the space between your skull and the protective covering of your brain. Hematoma epidural merupakan gejala sisa yang serius akibat cedera kepala dan menyebabkan angka mortalitas sekitar 50%. Laporan pbl 1 modul hemiparesis linkedin slideshare. The morbidity and mortality result from mass effect on the brain as the hematoma. An epidural hematoma edh is an extraaxial collection of blood within the potential space between the outer layer of the dura mater and the.
Jun 26, 2018 epidural or extradural hematoma is a serious medical condition in which there is collection of blood between the dura mater and the skull. Epidural bleeding occurs between the skull and dura. Download this pdf file majalah kedokteran andalas universitas. Physical examination and cardiac assessment were normal. It often occurs when an impact fractures the calvarium. The classic epidural hematoma is observed with a linear skull fracture of the temporal bone, which tears the middle meningeal artery, allowing. Epidural hematoma skull traumatic brain injury scribd. Since the spine is also covered by the dura mater, epidural bleeds may also take place in. If considering compression due to neoplasm obtain scan of entire spine. Hematoma epidural edh merupakan kumpulan darah di antara duramater dan tabula interna.
Small asymptomatic epidural hematomas edhs are frequently managed nonoperatively with good neurologic outcome. Epidural hematoma in the brain is rare in patients older than age 60. Rapid spontaneous resolution of acute epidural hematoma. Epidural hematoma, cranial sutures, head trauma, children. Epidural hematoma, a type of head injury involving bleeding into the space between the skull and the dura mater, the outermost layer of the protective structures surrounding the brain. Unduh sebagai doc, pdf, txt atau baca online dari scribd. The classic epidural hematoma is observed with a linear skull fracture of the temporal bone, which tears the middle meningeal artery, allowing blood to accumulate under pressure in the epidural space. An epidural hematoma edh is one of the most widely known and definitively treatable of all neurologic conditions. Epidural haematoma edh is a rare condition in newborns, with fewer than 80 such cases reported.
In rare instances, such hemorrhages can be spontaneous. Epidural hematoma is when bleeding occurs between the tough outer membrane covering the brain dura mater and the skull. Epidural hematoma case report traumatic brain injury. The inciting event often is a focused blow to the head, such as that produced by a hammer or baseball bat. Intracranial hematomas msd manual consumer version. The membrane covering the brain is not as closely attached to the skull as it is in older people and children younger than 2 years. This etiology owes its prevalence to two coinciding phenomena of human evolution. Epidural hematoma free download as powerpoint presentation.
Advances in contemporary ct imaging have made confirmation of an edh diagnosis rapid and accurate. Mortality was 41% for acute subdural haematoma 1946 and 3% 7 for patients with epidural haematoma. Oct 01, 2018 an epidural hematoma edh is one of the most widely known and definitively treatable of all neurologic conditions. Hematoma epidural biasanya disebabkan oleh trauma kepala, dan sering dikaitkan dengan fraktur tulang tengkorak. Extradural hematoma edh, also known as an epidural hematoma, is a collection of blood that forms between the inner surface of the skull and outer layer of the dura, which is called the endosteal layer. Epidural hematoma as a complication of sphenoid sinusitis and. Subdural hematoma sdh and epidural hematoma edh are characterized by bleeding into the spaces surrounding the brain or spinal cord. Epidural or extradural hematoma is a serious medical condition in which there is collection of blood between the dura mater and the skull. Although epidural hematomas are relatively uncommon approximately 2% of all. This pocket of blood is called an epidural hematoma.
Epidural hematoma in emergency medicine differential diagnoses. Abc2 is a wellaccepted volume estimation method that can be used for tedh volume estimation. Epidural hematoma human head and neck neurology scribd. Gejala hematoma epidural dapat berupa sakit kepala, kejang, mual, muntah atau defisit neurologis focal. Epidural hematoma represents acute bleeding into the epidural space. Spontaneous spinal epidural hematoma sseh is a relatively rare disease. Epidural hematoma usually associated with a skull fracture. Epidural hematoma is an indication for emergency neurosurgical intervention.
Extradural hematoma subdural hematoma biconvex or lenticular diffuse and concave temporal or entire surface of brain temporoparietal middle meningeal artery tearing of bridging veins 0. The traumatic epidural hematoma tedh volume is often used to assist in tedh treatment planning and outcome prediction. Much of what is known about epidural hematomas comes from case reports. A subdural hematoma subdural hematoma sdh is a form of traumatic brain injury in which blood gathers between the dura the outer protective covering of the brain and the arachnoid the middle layer of the meninges. Often there is loss of consciousness following a head injury, a brief regaining of consciousness, and then loss of consciousness again. Epidural hematoma trh11 2 body has no mechanism for absorption of extradural hemorrhage clotted blood remains in epidural space as tumor until it is removed. Oct 27, 2016 epidural hematoma edh is a traumatic accumulation of blood between the inner table of the skull and the strippedoff dural membrane. This pocket of blood is called a subdural hematoma. Epidural hematoma terjadi pada 1% trauma kepala, insiden tertinggi terjadi pada usia 2030 tahun, jarang terjadi pada usia dibawah 2 tahun atau lebih dari 60 tahun, disebabkan dura yang melekat erat pada tabula interna skull. It produces a severe neurological deficit and prompt decompression is usually the first choice of treatment. Hematoma epidural adalah pdf epidural hematoma edh is an intracranial hemorrhage between the outer membrane of the brain dura mater and the skull, usually caused by trauma. Epidural hematoma is a topic covered in the diseases and disorders to view the entire topic, please sign in or purchase a subscription nursing central is an awardwinning, complete mobile solution for nurses and students.
Epidural hematoma adalah hematoma antara tengkorak dan duramater. Diagnosis is by mri or, if not immediately available, by ct myelography. A spinal subdural or epidural hematoma is an accumulation of blood in the subdural or epidural space that can mechanically compress the spinal cord. Epidural hematoma edh, also known as extradural hematoma, is a hemorrhage into the space between the dura and the overlying calvarium. Acute cervical epidural hematoma case report guilherme borges, leonardo bonilha, marcos vinicius calfat maldaum, jose ribeiro menezes, veronica zanardi abstract a 74 yearold patient with a nocturnal onset of neck and chest pain was brought to an emergency clinic. On ct, the hematoma forms a hyperdense biconvex mass. Epidural hematoma an overview sciencedirect topics. Spinal subdural or epidural hematoma neurologic disorders. It can occur when a traumatic force applied to the head is sufficient to cause a deformity of the skull and damage. The morbidity and mortality result from mass effect on the brain as the hematoma expands and strips the dura away from the skull.
An epidural hematoma is usually associated with a skull fracture. Although surgery remains the treatment of choice for extradural hematomas edh, there were many cases. Our goals were to determine the frequency and timing of enlargement of acute traumatic edhs that are not immediately surgically evacuated as well as to identify factors associated with rehemorrhage. Or a pocket of blood may form between the outer and middle layers of tissue. Consider bladder scanultrasound for bladder volume postvoid residual management general epidural compression syndrome management. Epidural hematoma definition of epidural hematoma by. Apr 17, 2012 extradural hematoma subdural hematoma biconvex or lenticular diffuse and concave temporal or entire surface of brain temporoparietal middle meningeal artery tearing of bridging veins 0. An edh is often caused by a skull fracture during childhood or adolescence.
Epidural abscess spinal epidural hematoma spinal evaluation. Spinal epidural hematoma peaks during the fifth and sixth decades. Apr, 2016 epidural hematoma edh is an easily treated form of head injury that is often associated with a good prognosis. An epidural hematoma edh is bleeding between the inside of the skull and the outer covering of the brain called the dura. The risk of these events is increased by the use of indwelling epidural catheters for administration of analgesia or by the concomitant use of drugs affecting hemostasis such as non. Epidural or extradural hematoma free download as word doc.
However, these studies were performed in the prect scan era. However, it may be necessary when a resection vertebral plan in spine tumor is required. In almost all cases, an edh is caused by blunt trauma leading to a skull fracture. It can result in a pocket of blood between the skull and the outer layer of tissue covering the brain. It occurs approximately 2% of all cases of head trauma. The usual clinical presentation of sseh is sudden neck or back pain that progresses toward.