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| Strojnik T. Med Mes 2006; 2:331-7. |
Epiduralni hematomEpiduralni hematom je krvavitev v prostor med notranjo tabulo lobanje in trdo možgansko ovojnico - duro mater. Razvije se zaradi krvavitve iz srednje meningealne arterije ali redkeje meningealne vene ali duralnih sinusov. Pri večini epiduralnih hematomov je pridružen linearni zlom lobanje v predelu luske temporalne kosti. Klasični znaki pri epiduralnem hematomu so kratka izguba zavesti po poškodbi, kateri sledi večurno lucidno obdobje. Nato poškodovanec zapade, razvije se hemipareza na nasprotni strani in razširi se zenica na strani poškodbe. Diagnostična metoda je CT. Zdravljenje je v večini primerov operativno. Optimalna diagnoza in zdravljenje v nekaj urah omogočata smrtnost 5-10 %. |
Epidural hematomaEpidural hematoma has been clasically defined as an accumulation of blood in the space between inner table of the skull and the dura mater. Epidural hematomas occur because of tearing of either the middle meningeal artery or; less commonly, middle meningeal vein or dural sinus. Almost all of epidural hematomas are associated with a linear skull fracture, usually of the squamous portion of the temporal bone. Classical presentation is brief posttraumatic loss of consciousness, followed by a lucid interval for several hours and then, obtundation, contralateral hemiparesis, ipsilateral pupillary dilatation. Evaluation is by the CT scan. In most cases epidural hematoma is a surgical condition. Optimal diagnosis and treatment within few hours' results in 5-10 % estimated mortality. |
Ključne besede:epiduralni hematom. |
Key words:epidural hematoma. |
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