Epidural vs. Subdural Hematoma Quiz
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Questions and Answers

Which type of herniation involves the displacement of the cingulate gyrus?

  • Tonsillar Herniation
  • Subfalcine Herniation (correct)
  • Uncal Herniation
  • Displacement of Brain Tissue

What is a potential consequence of tonsillar herniation?

  • Infarction of the occipital lobe
  • Compression of the anterior cerebral artery
  • Cardiopulmonary arrest (correct)
  • Duret hemorrhage

What symptom is associated with uncal herniation due to cranial nerve III compression?

  • Paralysis of facial muscles
  • Loss of vision in one eye
  • Inability to speak
  • Eye movement 'down and out' and a dilated pupil (correct)

What does subfalcine herniation primarily threaten in the brain structure?

<p>Anterior cerebral artery (B)</p> Signup and view all the answers

Which statement accurately describes a consequence of increased intracranial pressure?

<p>Displacement of brain tissue through the foramen magnum (C)</p> Signup and view all the answers

What is the primary cause of an epidural hematoma?

<p>Tearing of the middle meningeal artery (D)</p> Signup and view all the answers

Which statement accurately describes the imaging characteristics of a subdural hematoma?

<p>It presents as a crescent-shaped lesion on CT. (A)</p> Signup and view all the answers

What complication can arise from an epidural hematoma?

<p>Herniation (A)</p> Signup and view all the answers

What typically distinguishes the presentation of a subdural hematoma from an epidural hematoma?

<p>Subdural hematomas present with progressive neurologic signs. (C)</p> Signup and view all the answers

Which of the following is true regarding the underlying causes of hematomas?

<p>Subdural hematomas are caused by tearing of bridging veins. (A)</p> Signup and view all the answers

Flashcards

Epidural Hematoma

Collection of blood between the dura and the skull, usually due to a fracture of the temporal bone.

Epidural Hematoma - Cause

Bleeding separates the dura from the skull, typically caused by a ruptured middle meningeal artery.

Epidural Hematoma - CT Appearance

Lens-shaped lesion on CT scan.

Subdural Hematoma

Collection of blood underneath the dura, covering the surface of the brain.

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Subdural Hematoma - Cause

Occurs due to tearing of bridging veins between the dura and arachnoid, often associated with trauma.

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Brain Herniation

Displacement of brain tissue due to increased pressure or mass effect.

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Tonsillar Herniation

Cerebellar tonsils move into the foramen magnum.

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Subfalcine Herniation

Cingulate gyrus shifts under the falx cerebri.

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Uncal Herniation

Uncus of the temporal lobe presses under the tentorium cerebelli.

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Uncal Herniation: CN III Compression

Compression of the oculomotor nerve (CN III) leading to a dilated pupil and eye movement down and out.

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Study Notes

EPIDURAL HEMATOMA

  • Blood collection between the dura and the skull
  • Commonly due to middle meningeal artery rupture following temporal bone fracture.
  • Blood separates the dura from the skull
  • Diagnostic features:
    • Lens-shaped lesion on CT scan
    • Lucid interval may occur before neurological symptoms appear

SUBDURAL HEMATOMA

  • Blood collection under the dura; blood covers the brain surface.
  • Usually due to tearing of bridging veins between the dura and arachnoid.
  • Associated with trauma
  • Clinical presentation:
    • Crescent-shaped lesion on CT scan
    • Progressive neurological symptoms

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Description

Test your knowledge on the differences between epidural and subdural hematomas. This quiz covers causes, diagnostic features, and clinical presentations associated with these types of hematomas. Understand how to identify them through CT scan characteristics and related symptoms.

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