Indian Journal of Neurotrauma 2017; 14(02/03): 091-094
DOI: 10.1055/s-0037-1612645
Case Report
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Contrecoup Acute Epidural Hematoma—A Rare Case Report

Manpreet Singh Banga
1   Department of Neurosurgery, Nilratan Sircar Medical College, Kolkata, West Bengal, India
,
B. V. Sandeep
1   Department of Neurosurgery, Nilratan Sircar Medical College, Kolkata, West Bengal, India
,
Sourabh Dixit
1   Department of Neurosurgery, Nilratan Sircar Medical College, Kolkata, West Bengal, India
,
Suniti Kumar Saha
1   Department of Neurosurgery, Nilratan Sircar Medical College, Kolkata, West Bengal, India
› Author Affiliations
Further Information

Publication History

Received: 15 August 2016

Accepted: 30 October 2017

Publication Date:
15 May 2018 (online)

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Abstract

Epidural hematoma (EDH) is a traumatic accumulation of blood between the inner table of the skull and the dural membrane. Contact-related skull deformation causes inbending or fracturing of cranium or both, leading to separation of the dura mater from inner table. This injures the dural arteries, veins, venous sinus, or diploid channels, producing EDH. They usually occur as a result of direct impact injuries to the head, ipsilateral to impact side. Incidence of epidural hematoma is 1 to 3% of all head injuries. Contrecoup EDH cases are rare. and because of its rarity, we present a case report of a 17-year-old boy with contrecoup EDH who sustained head injury due to road traffic accident. Computed tomography of the brain showed left occipital bone fracture and large contrecoup extradural hematoma in right frontal region associated with pneumocephalus and hemorrhagic contusional edema beneath it. The EDH was operated on, and the patient was discharged uneventfully.