What is Epidural Hematoma?

Epidural or Extradural hematoma is a serious medical condition in which there is collection of blood between the dura mater and the skull. This condition is generally caused by a traumatic head injury. Since the spine is also covered by the dura mater, epidural bleeds may also take place in the spinal column. This is a serious condition since the collection of blood increases pressure on the intracranial space and compresses the brain tissue causing a brain shift. Epidural hematoma occurs in approximately 1-3% of head injuries. This condition can be fatal if not treated immediately.

 Epidural or Extradural Hematoma

Causes of Epidural or Extradural Hematoma

Epidural hematoma is a very rare condition. The most common cause of this condition is a forceful impact injuring the head, for example in contact sports with the ball hitting the head or a collision between players. Such condition can also occur when being involved in road accidents or falling on the head.

Signs of Epidural or Extradural Hematoma

  • Relentless headache.
  • Momentary loss of consciousness.
  • Presence of dizziness and vomiting.
  • The pupil on the affected side gets dilated.
  • Weakness of limbs and muscles on the side opposite to the side of the injury.

Treatment of Epidural or Extradural Hematoma

  • Immediate medical attention is imperative after the injury.
  • Head imaging with an MRI or a CT is done for confirmatory diagnosis and to identify the degree of the bleed.
  • A surgical procedure generally becomes necessary for drainage of blood and prevents bleeding.
  • Post surgery, the patient needs to be put under close observation to look for any signs of persistent bleeding or build up of pressure in the head.

Written, Edited or Reviewed By:


Last Modified On: November 29, 2013

Pain Assist Inc.

Pramod Kerkar
  Note: Information provided is not a substitute for physician, hospital or any form of medical care. Examination and Investigation is necessary for correct diagnosis.

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