Extradural haemorrhage Flashcards
1
Q
Which artery damaged in extradural haemorrhage?
A
Middle meningeal artery
2
Q
What is the vulnerable site which is damaged in EDH?
A
Pterion
3
Q
Causes of EDH?
A
Trauma
Trauma to spinal cord
Spontaneous - clotting defect
4
Q
SSx of EDH?
A
Persistent headache Loss of consciousness Lucid interval Vomiting Seizures Drowsiness Cushing's phenomenon (Bradycardia, raised BP, deep irregular breathing) Fixed ipsilateral pupil dilation Contralateral hemiparesis (can become bilateral)
5
Q
Investigations?
A
CT head
6
Q
What would CT head show?
A
Lens (biconvex) shaped haematoma
Possibly (if raised ICP):
1) Midline shift
2) Compression of ventricles
7
Q
Emergency Treatment?
A
ABC
Intubation + Ventilation + IV mannitol
8
Q
Form of neurosurgery?
A
Clot evacuation +/- ligation
