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Diagnosis Mistakes » Immediate care in extradural haematoma
 

Immediate care in extradural haematoma

Extradural haematoma is a surgical emergency because it can lead to death if the clot is not removed promptly. It usually occurs following a head injury that has resulted in only a transient loss of consciousness. A deteriorating conscious state is the most important neurological sign when it develops after the lucid interval. It is important to know that the drowsiness that occurs in a patient after a head injury is not misinterpreted as the patient just wishing to sleep. If treated early, prognosis usually is excellent, because the underlying brain injury generally is limited. Urgent craniotomy with evacuation of the clot is the ideal treatment.

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