In simple words: An epidural hematoma is bleeding outside the brain but under the skull.This usually happens after a hard hit to the head and can be very serious, sometimes causing unconsciousness or even death. Doctors use scans to see the bleeding and might need to operate to remove the blood.

Epidural hemorrhage (EDH), or extradural hematoma, refers to bleeding in the space between the skull and the dura mater (the outer covering of the brain).It's frequently caused by severe head injury (e.g., car accidents, falls, contact sports).The condition often leads to unconsciousness, seizures, nausea, vomiting, and increased intracranial pressure (ICP).Other potential symptoms include headache, amnesia (temporary or permanent), physical and mental disability, impaired cognitive function, and communication difficulties. Diagnosis involves patient history, physical examination (assessing response to stimuli and pupil dilation), Glasgow Coma Scale, and imaging techniques like CT or MR angiography. Treatment may include medications (sedatives, antiseizure drugs, analgesics), airway and circulation stabilization, neck/head immobilization, addressing associated problems, and surgery (ICP monitor placement or hematoma evacuation).

Example 1: A 25-year-old male is involved in a motorcycle accident, resulting in a severe head injury. He presents to the emergency room with decreased consciousness, unilateral pupil dilation, and signs of increased ICP. CT scan reveals an EDH, and he undergoes immediate surgical evacuation of the hematoma., A 16-year-old female sustains a head injury during a soccer game.She initially appears fine but later develops a severe headache and vomiting. CT scan shows a small EDH that is closely monitored.Conservative treatment with close neurological observation is implemented., A 60-year-old male experiences spontaneous EDH due to a bleeding disorder. He presents with neurological deficits and requires emergency surgery for hematoma evacuation and management of the underlying bleeding disorder.

Detailed documentation should include the mechanism of injury, the patient's initial neurological status (Glasgow Coma Scale), imaging findings (CT or MRI), surgical details (if applicable), and the patient's post-operative course and neurological recovery.Pertinent negatives should also be documented.

** This code is for epidural hemorrhage irrespective of the cause.Always use additional codes to capture the underlying cause and any associated injuries or complications.