Traumatic Acute Vertex Epidural Hematoma(vEDH): A Case Report

Abstract

Vertex epidural hematoma (vEDH) is a rare type of intracranial hematoma, which accounts for 0.024% of all head injuries and 0.47 to 8.2% of intracranial hematoma, with high mortality rate of approximately 50% if not detected early. We report a case of 30-year-old male with fall from height presenting with headache and bradycardia. Craniotomy with complete evacuation of vEDH was done. vEDH is a relatively rare entity and in suspected case of vEDH one should always get thin cuts of computed tomography along with sagittal and coronal cuts.

Keywords

craniotomy - epidural hematoma - fall - hemostasis - vertex

Publikationsverlauf

Artikel online veröffentlicht:
13. Juli 2023

• References

• 1 Aji YK, Rasi M, Apriawan T, Bajamal AH. Vertex extradural hematomas: when to operate?:  a case report. Indones J Neurosurg 2018; 2: 31-33
• 2 Harbury OL, Provenzale JM, Barboriak DP. Vertex epidural hematomas: imaging findings and diagnostic pitfalls. Eur J Radiol 2000; 36 (03) 150-157
• 3 Hun J, Won K, Yoon K, Hyun T, Jong K, Kim H. Clinical features and treatment strategies for vertex epidural hematoma: a systematic review and meta - analysis from individual participant data. Neurosurg Rev 2021; 45 (01) 819-830
• 4 Columella F, Gaist G, Piazza G, Caraffa T. Extradural haematoma at the vertex. J Neurol Neurosurg Psychiatry 1968; 31 (04) 315-320
• 5 Messori A, Pauri F, Rychlicki F, Veronesi V, Salvolini U. Acute posttraumatic paraplegia caused by epidural hematoma at the vertex. AJNR Am J Neuroradiol 2001; 22 (09) 1748-1749
• 6 Bullock MR, Chesnut R, Ghajar J. et al; Surgical Management of Traumatic Brain Injury Author Group. Surgical management of acute epidural hematomas. Neurosurgery 2006;58(3, suppl): S7– S15, discussion Si-iv