Treatment for hematoma is primarily surgical. A neurologist and a neurosurgeon will be essential members of the treatment team, as will nursing staff, in the operating room and out of it, who are specially trained in head trauma care.
Emergency care for spinal trauma consists of immobilizing the patient and administering high-dose corticosteroids. However, the highest priority for any intracranial or spinal hematoma is relief of the pressure by surgical drainage of the hematoma.
Recovery and rehabilitation
Epidural hematoma can result in permanent paralysis or other neurological deficits. If spinal cord compression due to hematoma is alleviated within 6–12 hours, permanent symptoms may be avoided. Prevention of brain damage depends more on preventing the brain from being deformed by the pressure of the hematoma than on relieving that pressure. Rehabilitation needs will depend on how much permanent damage, if any, has been caused.
As of 2004, no clinical trials were being conducted for epidural hematoma patients in the United States.
Marsh, Cherly. "Surgical Management of Patients with Severe Head Injuries." AORN Journal May 1, 1996.
Sung, Helen Minjung. "How to Diagnose and Treat Acute, Nontraumatic Spinal Cord Lesions." The Journal of Critical Illness April 1, 2000.
Trask, Todd. "Management of Head Trauma (Critical Care Review)." Chest August 1, 2002.