Pediatric epidural needle hematoma

Because the skull of children is soft and elastic, fractures are not easy to form bone fragments and stab blood vessels. The skull is closely related to the dura mater, and a hematoma is formed in the gap.

In general, the incidence of epidural hematoma in children is low, and the amount of hematoma is smaller than that in adults. The typical clinical manifestations include primary brain injury. After a brief coma, there is an intermediate period of wakefulness, the length of which is related to the length of the hematoma. The speed of the formation is related, and then coma again.

Before the second coma, children often have progressively worsening headache, restlessness, and frequent vomiting. In the late stage of the disease, mydriasis, paralysis of the contralateral limb, and vertebral tract signs may occur, followed by the contralateral mydriasis and respiratory circulation. died of exhaustion.

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