Traumatic Epidural and Subdural Hematoma: Epidemiology, Outcome, and Dating

Medicina (Lithuania) - Tập 57 Số 2 - Trang 125
Mariarosaria Aromatario1, Alessandra Torsello2, Stefano D’Errico3, Giuseppe Bertozzi2, Francesco Sessa2, Luigi Cipolloni2, Benedetta Baldari4
1Legal Medicine Division, Sant’Andrea University Hospital, 00189 Rome, Italy
2Section of Legal Medicine, Department of Clinical and Experimental Medicine, University of Foggia, Ospedale Colonnello D’Avanzo, Via degli Aviatori 1, 71100 Foggia, Italy
3Department of Medical, Surgical and Health Sciences, University of Trieste, 34100 Trieste, Italy
4Department of Anatomical, Histological, Forensic and Orthopedic Sciences, Sapienza University of Rome, 00186 Rome, Italy

Tóm tắt

Epidural hematomas (EDHs) and subdural hematomas (SDHs), or so-called extra-axial bleedings, are common clinical entities after a traumatic brain injury (TBI). A forensic pathologist often analyzes cases of traumatic EDHs or SDHs due to road accidents, suicides, homicides, assaults, domestic or on-the-job accidents, and even in a medical responsibility scenario. The aim of this review is to give an overview of the published data in the medical literature, useful to forensic pathologists. We mainly focused on the data from the last 15 years, and considered the most updated protocols and diagnostic-therapeutic tools. This study reviews the epidemiology, outcome, and dating of extra-axial hematomas in the adult population; studies on the controversial interdural hematoma are also included.

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