Where is an epidural hematoma located?

• A. Between the dura and skull
• B. Between skull and periosteum
• C. Between brain and skull
• D. Around the brain tissue

Answer: (A)

An epidural hematoma forms in the space between the skull and the dura mater. After a head injury, bleeding—often from the middle meningeal artery—pushes the dura away from the skull, creating a rapidly expanding epidural collection. This location is distinct from other traumatic bleeds: between skull and periosteum isn’t the epidural space, a hematoma there isn’t the typical epidural. Between brain and skull describes a subdural-type scenario (dura–arachnoid), and bleeding around brain tissue could refer to other spaces or intraparenchymal regions, not the epidural space.