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What is caused by the tear of the bridging veins or middle meningeal artery?

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Final answer:

A tear of the bridging veins causes a subdural hematoma, while a tear in the middle meningeal artery can lead to an epidural hematoma. Both conditions are serious and require immediate medical attention to prevent severe consequences.

Step-by-step explanation:

A tear of the bridging veins or the middle meningeal artery can result in two different types of intracranial hemorrhages. A tear in the bridging veins typically causes a subdural hematoma, which is the collection of blood between the dura mater and the arachnoid mater of the brain. On the other hand, an injury to the middle meningeal artery often leads to an epidural hematoma, which accumulates between the dura mater and the skull. These events are considered medical emergencies and require prompt diagnosis and treatment to prevent long-term neurological damage or death.

Epidural Hematoma Characteristics

  • Often caused by a fracture in the temporal bone which lacerates the artery.
  • Rapid bleeding and formation of a biconvex, lens-shaped hematoma that can compress the brain.
  • Classically presents with a lucid interval followed by rapid deterioration.

Subdural Hematoma Characteristics

  • Occurs more slowly as veins are under less pressure.
  • Presents with a crescent-shaped spread of blood over the brain surface.
  • Symptoms may develop over hours to weeks.
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