Answers to questions regarding traumatic brain injuries and the law, from John Hochfelder, a New York lawyer who specializes in injury cases.
Hematoma
An epidural hematoma (EDH) is a collection of blood which occurs below the skull but above the thick leathery cover of the brain itself known as the Dura.
These patients are often ones who have symptoms including a “lucid interval” which means they are struck in the head and have a short period of initial unconsciousness, wake up and seem better then seem to deteriorate. This is because of the gradual accumulation of blood in this area which presses on the brain over ...more»
An SDH is diagnosed when there is a collection of blood inside the skull, but also inside the dura. The collection is therefore between the dura and the outer most brain tissue itself. What causes a SDH? The source of the bleed can be from damage to the brain itself (a focal lesion or tear ...more»
It is generally felt that a patient with a clot thickness greater than 10mm should undergo surgical evacuation, regardless of their level of consciousness. Non-comatose patients with a clot thickness less than 10mm may not need surgery.
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