Radiology Case 6

  • Caitlin Hackett
  • Joshua K. AalbergEmail author


Epidural hematoma (EDH) is usually caused by shear injury to an artery from a skull fracture. The most commonly injured vessel is the middle meningeal artery. Less than 10% of EDH are venous, most commonly from the middle meningeal vein, diploic vein, or venous sinus. The most common cause is trauma. Occasionally, EDH can be spontaneous from coagulopathy, thrombolysis, vascular malformation, neoplasm, epidural anesthesia, and Paget’s disease of the skull. They are rarely bilateral (Weissleder, Primer of diagnostic imaging. Elsevier, Philadelphia, 2011).


Spontaneous from coagulopathy Thrombolysis Vascular malformation Neoplasm Epidural anesthesia Paget’s disease of the skull Bilateral 


Disclosure statement

The authors of this chapter report no significant disclosures.


  1. 1.
    Yousem DM, Grossman RI. Neuroradiology: the requisites. 3rd ed. Philadelphia: Elsevier; 2010.Google Scholar
  2. 2.
    Weissleder R, et al. Primer of diagnostic imaging. 5th ed., 3rd ed. Philadelphia: Elsevier; 2011.Google Scholar
  3. 3.
    Mirvis SE, et al. Emergency medicine case review. 1st ed. Philadelphia: Elsevier; 2009.Google Scholar
  4. 4.
    Hamilton M, Wallace C. Nonoperative management of acute epidural hematoma diagnosed by CT: the neuroradiologist’s role. Am J Neuroradiol. 1992;13(3):853–9.PubMedGoogle Scholar
  5. 5.
    Gean AD, et al. Benign anterior temporal epidural hematoma: indolent lesion with a characteristic CT imaging appearance after blunt head trauma. Radiology. 2010;257(1):212–8.CrossRefGoogle Scholar
  6. 6.
    Dent DL, et al. Prognostic factors after acute subdural hematoma. J Trauma. 1995;39(1):36–42.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Emergency MedicineWexner Medical Center at The Ohio State UniversityColumbusUSA

Personalised recommendations