Extradural haemorrhage Flashcards

1
Q

Definition of extradural haemorrhage

A

Haemorrhage into the potential space between dura and bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Most common cause of EDH

A

Middle meningeal artery rupture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Classical CT appearance of EDH

A

Lens shaped hyperdense structure at site of trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What may be the consequence of untreated EDH?

A

Flattening of the gyrae underlining the site of haemorrhage; herniation; brainstem compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What pattern of consciousness is characteristic of EDH?

A

“Lucid interval” after initial drowsiness post-injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Symptoms of EDH

A

Falling GCS
Severe headache
Vomiting
Confusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Management of EDH

A

Surgical clot evacuation +/- ligation of bleeding vessel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly