Questions and Answers
What is the typical radiologic factor associated with acute epidural hematoma?
Acute bulging epidural clot bounded by cranial sutures
Which age group is most at risk for acute epidural hematoma?
Children and young adults
What is a common initial clinical presentation of acute epidural hematoma before progression to coma?
Lucid interval followed by coma
What is the typical evolution pattern of symptoms in acute epidural hematoma?
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Which artery is commonly lacerated in cases of acute epidural hematoma?
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Where is the typical location of an acute epidural hematoma?
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What is a common clinical profile associated with acute epidural hematoma?
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What shape is the acute bulging epidural clot typically associated with acute epidural hematoma?
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What is the age group most at risk for acute epidural hematoma?
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Which factor requires urgent intervention in cases of acute epidural hematoma?
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Study Notes
Acute Epidural Hematoma
- Caused by laceration of the middle meningeal artery
- Typically located in the lateral cerebral convexities
- Evolution occurs within hours
- Characterized by a lucid interval, followed by coma
- Clinical profile includes:
- Pupillary dilatation
- Contralateral then bilateral limb weakness
- Slowly evolving stupor
- Age groups at risk: children and young adults
- Radiologic features:
- Acute bulging epidural clot
- Bounded by cranial sutures
- Lenticular in shape
- Requires urgent surgical intervention: evacuation
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