Delayed opposite frontal epidural hematoma due to bleeding from superior sagittal sinus with no cranial fracture – A case report

Abstract

Extradural hematomas have a mortality of about 10%. If present in significant volume, they require urgent evacuation. Delayed extradural hematomas have similar significance. They are increasingly being diagnosed with routine use of CT scan. They may be formed after evacuation of contralateral hematoma and majority have associated cranial fractures. We report a case of delayed frontal epidural hematoma with superior sagittal sinus bleed, not associated with any skull fracture, formed after evacuation of a frontal convexity EDH.

Keywords

Extradural hematoma - Delayed - Bilateral - Sinus injury

• References

• 1 Piepmer J.M., Wagner F.C.. Delayed post-traumatic extracerebral hematoma. J Trauma 1982; 22: 455-460
• 2 Di Rocco A., Ellis S.J., Landes C.. Delayed epidural hematoma. Neuroradiology 1991; 33: 253-254
• 3 Riesgo P., Piquer J., Botella C., Orozco M., Navarro J., Cabanes J.. Delayed extradural hematoma after mild head injury: report of three cases. Surg Neurol 1997; 48: 226-231
• 4 Alappat J.P., Baiju Praveen, Jayakumar K., Sanalkumar P.. Delayed extradual hematoma: a case report. Neurol India 2002; 50: 313-315
• 5 Domenicucci M., Signori P., Strzelecki J., Delfini R.. Delayed post-traumatic epidural hematoma. A review. Neurosurg Rev 1995; 18: 109-122
• 6 Poon W.S., Rehman S.U., Poon C.Y., Li A.K.. Traumatic extradural hematoma of delayed onset is not a rarity. Neurosurgery 1992; 30: 681-686