Epidural Hematoma: A Systematic Review

医学 血肿 硬膜外血肿 外科
作者
Vítor Ferraz Silva Tacconi,Luciana Karla Viana Barroso,Nicole Bruna da Costa Azevedo,Tayná das Graças Silva Souza,Cíntia Thaís Duarte Matias
出处
期刊:Journal of Morphological Sciences [The Brazilian Society of Anatomy (SBA)]
卷期号:38: 115-120 被引量:2
标识
DOI:10.51929/jms.38.21.2021
摘要

Introduction: epidural hematoma (EDH) is an event that can result in mortality and morbidity.Understanding it is critical to a fast diagnosis that enables successful management.In the perspective, this article aim to analyze the physiopathology of epidural hematoma.Specifically, the proposal develops a survey on the literature that covers the topic of epidural hematoma, to update and review in case reports the neurological damage and to seek the new concepts relative to the surgical practice, using the method of bibliographic study.Besides to bring some epidemiological data about this theme in Brazil in recent years.The results showed that the risks involved in the occurrence of an EDH go far beyond physical impacts, tumor lesions and infections, extending to cases of hemorrhage due to the use of drugs.Based on the DataSUS, there are no significant variations in hospitalizations due to intracranial hemorrhage or intracranial trauma in recent years.For treatment, minimally invasive surgery is one of the best alternatives to treat patients with EDH due to small incisions, reduced surgical time, reduced risk of anesthesia and avoid craniotomy.It is concluded that epidural hematoma requires an early diagnosis so that surgical intervention prevents other avoidable complications from occurring.Besides that, the public health system needs to have adequate structure, effective prevention strategies and improved EDH care.
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