Management of Patient with Traumatic Brain Injury: Epidural Hematoma

  • Letha MathewsEmail author


Traumatic Brain Injury (TBI) is defined as “an alteration in brain function or other evidence of brain pathology, caused by external force” (Menon et al., Arch Phys Med Rehabil 91(11):1637–40, 2010). TBI is a major cause of death and disability across the world causing significant economic impact in both developed and developing nations. In the USA alone, more than 50,000 people die annually from TBI and accounts for 2.2 million emergency department visits annually (Centers for Disease Control and Prevention,, 2001–2010). TBI is classified as mild (>13), moderate (9–12), or severe (<9) based on the Glasgow Coma Scale (GCS) (Teasdale and Jennett, Lancet 2(7872):81–4, 1974). The cause of TBI varies with age, with falls being more common in the very young (0–14 years) and older (>45 years) and motor vehicle accidents and assaults being more common in the 5–24 year group (Centers for Disease Control and Prevention,, 2001–2010). Prevention of secondary injuries such as hypotension and hypoxia can significantly affect outcome, and anesthesiologists, emergency room physicians, and critical care physicians play a major role in the management during the secondary phase of TBI. Epidural Hematoma (EDH) is a serious complication resulting from head injury when bleeding into the space between the dura and skull occurs. Acute EDH with symptoms is a neurologic emergency which often requires operative intervention.


Traumatic brain injury Epidural hematoma Secondary injuries Intracranial pressure Management Brain trauma foundation 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  1. 1.Division of NeuroanesthesiologyVanderbilt University Medical CenterNashvilleUSA

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