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Lucid Interval Mechanism,duration,EDH,Talk and Die Syndrome
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Patients who 'Talk and Die': The Lucid Interval
Patients who 'talk and die' (i.e., who have a 'lucid interval') are individuals who, after a head injury, sometimes complicated by short-lived consciousness after the head injury, are well enough to utter words (and therefore do not have a fatal primary brain injury) but who subsequently die of a potentially remediable complication of trauma (Dunn et al., 2003; Reilly et al., 1975). The causes of the fatal neurological deterioration in these patients are one or more of subdural or epidural hematomas ('peridural hematomas'), contusions/intracerebral hematomas and brain swelling. Large bilateral frontal contusions are particularly apt to cause delayed deterioration owing to perilesional swelling (Statham et al., 1989). The lucid interval lasts for minutes to hours for most peridural hematomas and up to a couple of days for expanding intracerebral hematomas and brain swelling.
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