Traumatic Epidural and Subdural Hematoma: Epidemiology,

Medicina · Feb 2021

Review

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

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. ⋯ 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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- Mariarosaria Aromatario, Alessandra Torsello, Stefano D'Errico, Giuseppe Bertozzi, Francesco Sessa, Luigi Cipolloni, and Benedetta Baldari.
- Legal Medicine Division, Sant'Andrea University Hospital, 00189 Rome, Italy.
- Medicina (Kaunas). 2021 Feb 1; 57 (2).
AbstractEpidural 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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Traumatic Epidural and Subdural Hematoma: Epidemiology, Outcome, and Dating.

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