Open AccessTen questions about intracranial epidural hematoma
Author(s) -
Carlos Umberto Pereira,
Nícollas Nunes Rabelo,
Gabriela Ferreira Kalkman,
Rodrigo Antônio Rocha da Cruz Adry,
Débora Moura da Paixão Oliveira
Publication year - 2021
Publication title -
jornal brasileiro de neurocirurgia
Language(s) - English
Resource type - Journals
eISSN - 2446-6786
pISSN - 0103-5118
DOI - 10.22290/jbnc.v32i1.1941
Subject(s) - pathognomonic , asymptomatic , mass effect , medicine , epidural hematoma , hematoma , radiology , skull , computed tomography , intracranial hematoma , surgery , disease
Intracranial epidural hematoma (EH) is considered a neurosurgical emergency. Its knowledgement has been increasingly prominent in literature. Methods: a literature review was performed on ten questions related to intracranial EH, such as age, sex, causes, location, imaging findings, neurological examination, lucid interval, hematoma size, treatment and prognosis. Conclusion: EH affects more young adult males. It does not cross the lines of cranial sutures. The lucid interval has been commonly described, however, it is not pathognomonic of EH, and may occur in other lesions of expanding mass. The computed tomography (CT) scan of the skull has been the exam of choice. The size influences prognosis and sequelae, when small and asymptomatic the treatment has been conservative and, if bulky, it requires surgical intervention. Early recognition and appropriate treatment for a good prognosis is of great importance.