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Epidural Hematoma

Background

Epidural hematoma (ie, accumulation of blood in the potential space between dura and bone) may be intracranial (EDH) or spinal (SEDH) (see the image below). Intracranial epidural hematoma occurs in approximately 2% of patients with head injuries and 5–15% of patients with fatal head injuries. Intracranial epidural hematoma is considered to be the most serious complication of head injury, requiring immediate diagnosis and surgical intervention. Intracranial epidural hematoma may be acute (58%), subacute (31%), or chronic (11%). Spinal epidural hematoma may also be traumatic, though it may occur spontaneously.

This MRI demonstrates spinal epidural hematoma.

This MRI demonstrates spinal epidural hematoma.

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