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CC BY 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0045-1811537
Brief Report

Bifrontal Mirror Image-Like Extradural Hematoma: A Rare Entity

Abhijit Acharya
1   Department of Neurosurgery, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
,
A. K. Mahapatra
1   Department of Neurosurgery, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
,
Souvagya Panigrahi
1   Department of Neurosurgery, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
,
Rama Chandra Deo
1   Department of Neurosurgery, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
,
Amresh Chandra Bal
2   Department of Anesthesia, Institute of Medical Sciences and SUM Hospital, Siksha 'O' Anusandhan University, Bhubaneswar, Odisha, India
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Funding None.
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Abstract

Extradural hematoma (EDH) is a collection of blood between the dura and the calvarium. The most common cause of EDH is road traffic injury. The most common age of presentation is 20 to 40 years. The EDH can cross the midline, unlike the subdural hematomas. The source of EDH is mostly arterial. It can bleed from the venous source like the midline sinus as well as from the fractured bones. EDH is mostly present below the fractured bony segment. Presentation of a bifrontal mirror image-like EDH is quite a rare occurrence. We present to you a 24-year-old male with an alleged history of road traffic accident followed by altered sensorium with three episodes of vomiting. Imaging of the brain was done which was suggestive of a bifrontal mirror-like EDH with a depressed fracture in the midline. EDHs are acute emergencies that should be managed with utmost care and prompt decision of surgery. The decision of early surgery can save the patient from prolonged mortality or morbidity.

Keywords

craniotomy - depressed skull fractures - extradural hematoma - skull bone fracture - traumatic brain injury


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Artikel online veröffentlicht:
27. August 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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