Table 1.

Acute Epidural Hematoma, Management Considerations [16]

Surgical evacuation if:

GCS ≤8 with anisocoria, or

Any GCS with EDH volume >30 cm3*

Nonoperative monitoring if:

GCS >8, and

No focal neurologic deficit, and

EDH volume <30 cm3*, and

EDH thickness <15 mm, and

Midline shift <5 mm

GCS = Glasgow Coma Scale; EDH = epidural hematoma.

^*Hematoma volume can be calculated by the ABC/2 method described by Kothari et al [21].