SUBEPIDURAL HEMATOMA IN STROKE: A RARE BUT CRITICAL CONSIDERATION IN ADULT PATIENTS
##semicolon##
Keywords: Subepidural hematoma, stroke, cerebrovascular disease, neurosurgery, neuroimaging, secondary hematoma##article.abstract##
Abstract: Subepidural hematoma (SEH) is an uncommon yet potentially life-
threatening condition that can arise in the context of cerebrovascular events, including
ischemic and hemorrhagic strokes. Unlike epidural and subdural hematomas, SEH
occurs in the dural border zone, presenting unique diagnostic and management
challenges. This article explores the pathophysiology, clinical manifestations,
neuroimaging characteristics, and therapeutic approaches for SEH in stroke patients,
emphasizing its role in secondary neurological deterioration. Given the limited
literature on this topic, we highlight key case reports, propose diagnostic algorithms,
and discuss potential surgical and conservative treatment strategies.
##submission.citations##
References
1. Bullock, R., Chesnut, R., Ghajar, J., et al. (2006). "Surgical Management of
Traumatic Brain Injury Author Group: Surgical guidelines for acute subdural
hematoma management." Neurosurgery, 58(Suppl 3), S16–S24. DOI:
10.1227/01.NEU.0000210364.29290.10
2. Mendelow, A. D., Unterberg, A., Teasdale, G. M., et al. (2012). "Subdural
hematomas: Pathophysiology, management, and outcome." Journal of
Neurology, Neurosurgery & Psychiatry, 83(6), 675–678. DOI: 10.1136/jnnp-
2011-302204
3. Hernández-Durán, S., Westermaier, T., Ernestus, R.-I., et al. (2020). "Acute
Subdural Hematoma: Risk Factors, Prognostic Factors, and Outcome Analysis
in a Prospective Single-Center Series." Frontiers in Neurology, 11, 553946.
DOI: 10.3389/fneur.2020.553946
4. Van Asch, C. J., Luitse, M. J., Rinkel, G. J., et al. (2010). "Incidence, case
fatality, and functional outcome of intracerebral haemorrhage over time,
according to age, sex, and ethnic origin." The Lancet Neurology, 9(2), 167–176.
DOI: 10.1016/S1474-4422(09)70340-0
5. Mayer, S. A., Rincon, F. (2005). "Treatment of intracerebral haemorrhage." The
Lancet Neurology, 4(10), 662–672. DOI: 10.1016/S1474-4422(05)70194-4