Head Epidural Hematoma

An epidural hematoma occurs when a blood mass develops between the skull and the protective brain covering due to head trauma. 

The impact can result in the brain bouncing against the skull, tearing the internal lining, tissues, and blood vessels, leading to bleeding and hematoma formation.

This condition puts pressure on the brain, causing swelling and potential shifting within the skull. The resulting damage to brain tissues can impact vision, speech, mobility, and consciousness. 

Without prompt treatment, an epidural hematoma may result in lasting brain damage or even death.

What causes Epidural Hematoma (EDH)?

EDH usually stems from a head injury, with 75% of cases linked to skull fractures. The primary bleeding source is often a fractured skull affecting the middle meningeal artery. Occasionally, EDH may form due to vein bleeding.

Additionally, EDH can arise from non-traumatic causes, such as-

  • Infection or abscess
  • Coagulopathy (impaired blood clotting)
  • Hemorrhagic tumors (tumors causing bleeding)
  • Vascular malformations like arteriovenous or cavernous malformations. 

These non-traumatic factors may not involve skull fractures.

Spinal epidural hematomas typically arise from spontaneous vein bleeds due to coagulopathies or excessive thinning of the blood from anticoagulant medications. Additional causes encompass:

  1. Vertebrae bone fractures.
  2. Procedures like lumbar punctures or epidural anesthesia.
  3. Spinal arteriovenous malformations or other vascular irregularities.
  4. Presence of spinal tumors.
  5. Association with pregnancy.

Recognizing Symptoms

Prompt recognition of cranial epidural hematoma symptoms is crucial for timely intervention. Common signs and symptoms include:

  • Unequal Pupil Size.
  • Breathing problems.
  • Loss of brain function.
  • Coma.
  • Death.
  • Headache.
  • Loss of Consciousness.
  • Nausea and Vomiting.
  • Seizures.

Symptoms of Epidurall Hematoma

symptoms of epidural hematoma

Signs for spinal epidural hematoma are:

  • Pain radiating into the relevant parts of the body
  • Numbness
  • Weakness
  • Bladder and bowel incontinence

How is an epidural hematoma diagnosed?

To diagnose an epidural hematoma, your doctor may order various tests.

These tests help in confirming the presence and location of the hematoma. Examples include 

  • Neurological tests
  • CT scans for bone fractures and limited assessment of soft tissue.
  • MRI imaging inspect your skull and spine’s soft tissue.

Epidural hematoma treatment in Dubai

Dr. Martin Liner is a neurosurgical consultant in Dubai who ensures that you receive personalized and comprehensive Epidural hematoma treatment in Dubai.

Treatment for an epidural hematoma varies based on symptom severity, overall health, and possible concurrent issues.

epidural hematoma surgery

Surgery

- Surgery is often recommended for epidural hematoma removal.
-The procedure typically involves a craniotomy.
- Surgeons open part of the skull to remove the hematoma and alleviate brain pressure.
medications for pain

Medications

- Before craniotomy or aspiration, medications may be administered to lower intracranial pressure.
- Hyperosmotic agents like mannitol, glycerol, and hypertonic saline can be recommended to reduce brain swelling.
- After hematoma removal, antiseizure medications may be prescribed to prevent seizures, a potential complication of head injuries.
- Long-term use of these medications may be necessary for months or even years.
rehabalitative therapy

Rehabilitative therapy :

- A doctor may refer you to therapists for assistance with injury-related symptoms and disabilities.
- These issues may include weakness, incontinence, walking difficulties, and paralysis or loss of sensation.
- Therapists may suggest exercises and coping strategies to enhance your physical abilities.
home care

Home care:

- Recovery from the injury and treatment typically show significant progress in the first six months.
- Further improvements may continue for up to two years.
- Following the doctor's treatment plan to aid recovery and prioritize rest and sufficient sleep.
- Gradually increase activity, avoid contact sports, and refrain from alcohol consumption.

Consult Dr. Martin Liner for Head Epidural Hematoma treatment in Dubai

Dr. Martin Liner excels in self-responsible diagnostics and effective treatment for neurosurgical conditions, focusing on the spine. His expertise encompasses conservative, and surgical approaches. 

Dr. Martin is committed to minimizing soft tissue damage, reducing post-surgery pain, shortening hospital stays, and facilitating quicker patient recovery. 

He specializes in excellent minimally invasive spine surgeries, including endoscopic procedures on the spine and peripheral nerves.

Additionally, Dr. Martin aptly manages the surgical treatment of critical traumatic neurosurgical conditions.

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