Extradural hematoma occur most commonly due to trauma to which part of skull?
C. Extradural hematoma
Most common cause - Trauma to temporal bone (Temporal bone fracture).
Blood vessel involved are – Rupture of middle meningeal artery & vein.
The clinical presentation:
1). Sudden onset of altered sensorium
2). After some time patient regain consciousness for a short period (Lucid interval)
3). Patient again become unconscious.
Diagnosis: CT scan
Treatment: Urgent Burr hole surgery.
1). Coma with a dilated pupil after a lucid interval following a head injury must be assumed to represent an epidural hematoma.
2). Emergency evacuation of the clot without time-consuming studies is vital to restore cerebral function. With a patient in less critical condition, a CT scan is the appropriate diagnostic study.