Symptoms of epidural hematoma?

summary

In recent years, more and more patients suffering from chronic subdural hematoma, often caused by fire, but few people can fully understand the disease of chronic subdural hematoma. In fact, chronic subdural hematoma, as the name suggests, is a chronic situation, but it may also be acute and dangerous. Is there any patient presenting with symptoms of epidural hematoma?, Today I'd like to share this with you.

Symptoms of epidural hematoma?

First, the dura mater and cranial plate are closely combined, and it is difficult to separate them. Especially at the craniosuture junction, they cannot be separated. Therefore, the epidural hematoma must be arterial hemorrhage, most of which are branches of the middle meningeal artery, because only when the artery is ruptured can there be enough pressure to separate the dura mater and cranial plate. So only the fracture of cranial plate can cause the tear of arterial wall, so a, epidural hematoma almost all accompanied by fracture. B. If the fracture does not cross the cranial suture, then the hematoma certainly does not cross the cranial suture. C. Fusiform. D. Acute is high density.

Second: subdural hematoma, mostly from the bleeding of the bridging vein. Venous pressure is low, the amount of bleeding can be more, can be less, can be chronic, because it is located under the dura mater, so across the cranial suture is very common, especially in the elderly with chronic bleeding. Density can be high, can be low, can be due to repeated attacks, uneven, can have liquid liquid level. Crescent shape is more common, especially chronic bleeding, most of them have no history of trauma, even if trauma, it is often caused by bleeding pressure first; Acute trauma with a small amount of bleeding, can be local spindle type, but absorption is very fast, and epidural is difficult to absorb.

Third: if the fracture at the same time tearing the dura mater, of course, can appear epidural, subdural hematoma at the same time, but there must be fractures at this time.

matters needing attention

1. Acute subdural hematoma with less blood loss, no progressive consciousness deterioration, hematoma thickness < 10 mm and midline displacement < 5 mm can be treated by temporary non-surgical treatment. The operation was performed by craniotomy and / or decompressive craniectomy. 2. The first choice for chronic subdural hematoma is skull drilling, flushing and closed drainage. For hypertrophic hematoma with calcification, craniotomy should be performed to remove hematoma.