Abstract

Extradural hemorrhage classically follows traumatic rupture of the middle meningeal artery or vein with a transient loss of consciousness and apparent quick return to normal. A “lucid interval” may last as long as a day, but customarily is no longer than two or three hours. During this time, the patient develops signs of increased intracranial pressure. This is caused by the continued accumulation of blood in the extradural space. Trephining of the skull may be life saving.

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