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Questions and Answers
What is the typical radiologic factor associated with acute epidural hematoma?
Which age group is most at risk for acute epidural hematoma?
What is a common initial clinical presentation of acute epidural hematoma before progression to 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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Description
Test your knowledge on identifying abnormality on CT scans in cases of neurological emergencies. In this case, a 35-year-old male presented with altered sensorium after a vehicular accident. Can you recognize the abnormality found on the CT scan?
