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An epidural hematoma is a blood clot that occurs on the outside of the brain between the skull and the surface of the brain and usually occurs when a violent blow breaks a blood vessel and forms a pressurized pocket of blood. This growing hematoma exerts pressure on the brain. These types of hematomas are less common then subdural hematomas.

Risk Factors

  • Severe brain injury or blow to the side of the head

Diagnosing

  • CT (computed tomography)
  • MRI (magnetic resonance imaging)

Treatment

  • Close neurological observation to observe for any further bleeding is essential. For some people, the hematoma does not compress the delicate tissue to cause neurological damage. For those people, close observation may be all that is necessary. If the hematoma enlarges than emergency surgery may be warranted.
  • Emergency surgery (craniotomy) is often performed for acute subdural hematomas where there is compression on the delicate brain tissue. Surgery depends on the location of the subdural hematoma, the amount of blood and how the patient is responding (the neurological exam).

The best approach to treatment depends on the location and the amount of compression the blood clot is creating on the delicate tissues.

At Parker Adventist Hospital, we have skilled neurosurgeons with the expertise to choose the right treatment choice based on an individual's needs. We have a specialized intensive care unit where the nursing staff is trained and skilled in giving the best care to the neuroscience patient.

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