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• Epidural Hematoma


  • Head trauma
  • Temporal skull fracture
  • Middle meningeal artery tear & bleed
  • Fast accumulation of blood (arterial bleed)
• Epidural Hematoma Presentation


  1. Immediate loss of consciousness (brief)

  2. 24-hour lucid interval of recovery

  3. Rapid deterioration
• CT appearance


  • Lens shape (biconcave)
  • Doesn't cross sutures
• Epidural Hematoma Treatment


  1. Emergent neurosurgical evacuation

  2. If not treated immediately, brain herniation & midline shift