Treatment of Nontraumatic Epidural Haemorrhage with Anisocoria and Coma (GCS < 9)

This protocol addresses the management of acute epidural hematoma in a patient who is in coma — with a Glasgow Coma Scale score below 9 — and who also presents with anisocoria, indicating severe, time-critical neurological compromise.

Anisocoria combined with a Glasgow Coma Scale score under 9 in the context of acute nontraumatic epidural haemorrhage defines a high-urgency clinical picture. The co-occurrence of depressed consciousness and unequal pupils points to evolving mass effect that demands prompt escalation of care.

Management involves a surgical intervention targeting the hematoma directly. The full protocol specifies the operative indication, timing criteria, and decision thresholds — access the complete regimen below.