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.

Description

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