Goubert Ronald, Wray Alisa, Matonis Danielle
University of California, Irvine, Department of Emergency Medicine, Orange, CA.
J Educ Teach Emerg Med. 2020 Jul 15;5(3):V22-V24. doi: 10.21980/J8R059. eCollection 2020 Jul.
An epidural hematoma (EDH) is a potentially life-threatening intracranial hemorrhage (ICH) that may require emergency neurosurgical intervention to prevent rapid clinical decline. This case report discusses the presentation, diagnosis and neurosurgical intervention of an adult male who presented unresponsive and was found to have a right-sided epidural hematoma along with a left-sided subdural hematoma requiring surgical placement of an extra-ventricular drain. Although most epidural hematomas are easily visible on non-contrast computed tomography (CT), it is important to be able to recognize key diagnostic findings that separate epidural hematomas from other types of intracranial hemorrhages. While many are managed without surgery, it is important to know the presentation, progression, and diagnostic criteria that may warrant neurosurgical intervention to combat the effects of an expanding hematoma and increasing intracranial pressure.
Epidural Hematoma (EDH), Intracranial Hemorrhage (ICH), Traumatic Brain Injury (TBI).
硬膜外血肿(EDH)是一种潜在危及生命的颅内出血(ICH),可能需要紧急神经外科干预以防止临床状况迅速恶化。本病例报告讨论了一名成年男性的临床表现、诊断及神经外科干预情况,该男性就诊时无反应,经检查发现右侧硬膜外血肿伴左侧硬膜下血肿,需要手术置入脑室外引流管。尽管大多数硬膜外血肿在非增强计算机断层扫描(CT)上很容易看到,但能够识别将硬膜外血肿与其他类型颅内出血区分开来的关键诊断特征非常重要。虽然许多硬膜外血肿无需手术治疗,但了解可能需要神经外科干预以对抗血肿扩大和颅内压升高影响的临床表现、进展及诊断标准很重要。
硬膜外血肿(EDH)、颅内出血(ICH)、创伤性脑损伤(TBI)。