Post traumatic large vertex epidural hematoma without sagittal sinus injury: A case report and review of literature

Abstract

A 23-years-old young male patient was admitted to our hospital following head injury due to road traffic accident. He was unconscious and his Glasgow Coma Scale (GCS) was 7 out of 15. Computed tomography scan of head revealed a large epidural hematoma over bilateral frontal lobes convexity crossing the midline, extending posteriorly over fronto-parietal lobe convexity in the vertex beyond coronal suture and associated with fronto-parietal bone fracture. Emergency operation was done and the hematoma was evacuated. Intra operatively there was no sagittal sinus injury. Post operatively patient became conscious without any neurological deficit. We report our case of head injury with extensive epidural hematoma in bilateral frontal and vertex area without sagittal sinus injury and reviewing the literature.

Keywords

Traumatic - Large - Vertex - Epidural hematoma - Sagittal sinus injury

• References

• 1 Greenberg M.S.. Head trauma. 4th. ed. In: Greenberg M.S.. ed. Hand Book of Neurosurgery. 1997. vol. 2 Greenberg graphics; Lakeland: 690-747
• 2 Guha A., Perrin R.G., Grossman H.. Vertex epidural hematomas. Neurosurgery 1989; 25: 824-828
• 3 Datta S.G.S.. Bilateral vertex extradural hematomas: a case report. Indian J Neurotrauma 2008; 05: 109-111
• 4 Chagla A., Muzumdar D., Goel A.. A massive extradural haematoma at the vertex. Neurol India 2000; 48: 88
• 5 Wylen E.L., Nanda A.. Vertex epidural hematoma with coronal suture diastasis presenting with paraplegia. J Trauma 1998; 45: 413-415
• 6 Cordobes F., Lobato D., Rivas J.. et al Observations on 82patients with extradural haematomas. J Neurosurg 1981; 54: 179-186
• 7 Mishra S.S., Senapati S.B., Deo R.C.. Traumatic bilateral frontal extradural hematomas with coronal suture diastases. Neurol India 2011; Nov-Dec 59 (06) 940-942
• 8 Davies M.J., Sutcliffe J.C., Dias P.S.. Vertex extradural haematomas: a report of 3 cases and a review of the literature. J Clin Neurosci 1974; 04: 34-38
• 9 Diyora B., Sharma A., Patel K., Patankar P., Patil R.. Simultaneous occurrence of traumatic subfrontal extradural hematoma with orbital subperiosteal hematoma. IJNT 2006; 03 (02) 139-141
• 10 Saiful M.N., Azmi A., Saffari M.H.. Proptosis presenting as a delayed sign of frontal extradural haematoma. Med J Malays 2007; 62 (02) 156-157
• 11 Borzone M., Rivano C., Altomonte M., Capuzzo T.. Acute traumatic vertex epidural haematomas surgically treated. Acta Neurochir (Wien) 1988; 93: 55-60
• 12 Barlow P., Kohi Y.M.. Acute simultaneous bilateral extra-dural hematoma. Surg Neurol 1985; 23: 411-413
• 13 Jones T.L., Crocker M., Martin A.J.. A surgical strategy for vertex epidural haematoma. Acta Neurochir (Wien) 2011; Sep 153 (09) 1819-1820