Document Detail

Delayed post-traumatic epidural hematoma. A review.
MedLine Citation:
PMID:  7478014     Owner:  NLM     Status:  MEDLINE    
Post-traumatic acute epidural hematoma (EDH) is generally visible on the CT scan done immediately after admission: occasionally, it only comes to light at a later scan and is then termed delayed (DEDH). Since the introduction of CT, the frequency of this occurrence has gone up from 6-13% to 30%. The mechanisms responsible for the delayed appearance of the epidural hematoma a "tamponade" effect are usually increased endocranial pressure and post-traumatic arterial hypotension as well as, in a limited number of cases, coagulopathy, CSF drainage, and arterio-venous shunt. The authors report 5 of their own cases and 45 published cases and discuss the characteristics of this particular form of hematoma and its outcome.
M Domenicucci; P Signorini; J Strzelecki; R Delfini
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Neurosurgical review     Volume:  18     ISSN:  0344-5607     ISO Abbreviation:  Neurosurg Rev     Publication Date:  1995  
Date Detail:
Created Date:  1995-12-28     Completed Date:  1995-12-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7908181     Medline TA:  Neurosurg Rev     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  109-22     Citation Subset:  IM    
Department of Neurological Sciences, University of Rome La Sapienza, Italy.
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MeSH Terms
Brain Edema / radiography,  surgery
Brain Injuries / radiography*,  surgery
Head Injuries, Closed / radiography,  surgery
Hematoma, Epidural, Cranial / radiography*,  surgery
Hematoma, Subdural / radiography,  surgery
Neurologic Examination
Skull Fractures / radiography,  surgery
Time Factors
Tomography, X-Ray Computed*
Treatment Outcome
Wounds, Gunshot / radiography,  surgery

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