Extradural Haemorrhage Flashcards
1
Q
What is the definition of extradural haemorrhage?
A
Collection of blood between the skull and dura mater.
2
Q
What causes extradural haemorrhage?
A
Almost always severe head trauma
Rupture of middle meningeal artery
3
Q
What are some clinical features of extradural haemorrhage?
A
Lucid interval
Stuporose (ipsilateral dilated pupil, contralateral hemiparesis with rapid transtentorial coning)
Bilateral fixed, dilated pupils, tetraplegia and respiratory arrest follow
3
Q
What are some investigations for extradural haemorrhage?
A
Urgent CT brain (hyperdense biconvex lens shaped lesion)
3
Q
What is the management of extradural haemorrhage?
A
Mild: conservative management with close observation
Severe: urgent neurosurgical evacuation of haematoma
