Epidural bleeding is bleeding between the dura mater, the outermost brain membrane, and the skull bone. Although it usually develops as a result of trauma such as traffic accidents, falls, work accidents, blows to the head, it can sometimes develop due to bleeding disorders, vascular diseases, use of blood thinners or a tumor. It usually bleeds from the meningeal media artery (artery) and its branches, which are located on the dura mater and are responsible for the nutrition of this area. Skull fractures often accompany epidural bleeding. What we need to mention here, by opening a parenthesis, is that Alzheimer's patients have difficulty walking and have memory problems, so they are likely to hit their heads somewhere. Bleeding develops more easily due to aging of the vascular structures than with age. Alzheimer's treatment must be applied to such patients.
A neurosurgeon's opinion should be sought in a patient who develops epidural bleeding. Following the general medical examination, a brain tomography should be taken to detect epidural bleeding and skull fractures, if any. The best neurosurgeon will evaluate these results and decide whether the patient requires surgery. Epidural bleeding is a very serious, life-threatening form of bleeding. Since it is an arterial bleeding, the bleeding may not stop even if it is monitored. This may cause death or disability of the patient. An intensive care bed must be arranged for these patients.
Treatment of epidural bleeding is usually surgery. Sometimes very minor bleeding can be corrected by monitoring. Since it is a brain surgery, it also has risks. The type of surgery is similar to brain tumor surgery.
We talked generally about epidural bleeding, which is bleeding into the brain area. However, bleeding between the spinal membrane and the spinal bone is epidural bleeding. This also develops due to traumas and tumors. In fact, it can rarely be observed after lumbar disc herniation surgery or cervical disc herniation surgery.
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