An epidural hematoma is a collection of blood that forms between the skull and the thick membrane that covers the brain (the dura). Epidural hematomas generally result from a serious head injury, such as an automobile accident. These tend to occur in younger people and occur when a skull fracture causes rupture of a blood vessel. The ruptured blood vessel, usually an artery, quickly leads to a growing pool of blood which compresses the brain. Symptoms of an epidural hematoma develop rapidly and include: confusion, loss of consciousness, dizziness, headache, nausea/vomiting, or weakness. Epidural hematomas are diagnosed with CT scans. Even with prompt neurosurgical treatment, which involves removing the hematoma and relieving the pressure from the brain, there is a significant risk of death and disability. Your surgeon will decide which surgical approach, craniotomy or otherwise, would best address your condition. Medications for seizure control and rehabilitation are often part of the recovery process.