Traumatic Extradural Hemorrhage Management: An article Review

Abstract

Extradural hemorrhage (EDH) is an accumulation of blood in the potential space
between the inner table of the skull and the stripped off dural membrane, its prognosis is
considered excellent if treated immediately. EDH occurs in about 2% of all cases of head
injury but 5 to 15% of cases of fatal head injury. Around 30% of cases are acute, 30%
subacute and 10% chronic. The clinical criteria to suspect EDH during the period of latency
include symptoms as headache, restlessness, nausea, vomiting, dizziness, confusion, lack of
responsiveness and sometimes seizures. In addition, signs as contralateral hemiparesis and
ipsilateral occulomotor nerve paresis are alarming as it may be followed by decerebrate
rigidity, arterial hypertension, cardio respiratory irregularity, apnea, and death. The primary
diagnostic investigation for extradural hematoma is a CT without contrast in the majority of
cases. Surgery is management of choice in patients with EDH as it represents 80% of
management of EDH patients. The aim of the current study to review the possible
modalities management for traumatic EDH.