Abstract
Epidural hematomas (EDHs) occur in 0.9–12% of patients with head trauma and most often result from direct contact forces to the head leading to laceration of the middle meningeal artery. This study sought to evaluate the pathogenesis and clinical importance of a subgroup of EDHs isolated to the anterior middle cranial fossa as these may have a more benign natural history. The authors retrospectively evaluated 200 patients with acute traumatic supratentorial EDHs at a single hospital center. A subset of 21 patients in whom the EDH was located at the anterior aspect of the middle cranial fossa was identified.
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