Extradural hemorrhages are commonly seen in coup head injuries, rarely seen in contrecoup
head injuries. Acute extradural hemorrhage in the coup head injuries associated with
a fracture is common, but the incidence of acute contrecoup extradural hemorrhage
not associated with the fracture is extremely rare. Only 21 cases have been reported
previously. A 28-year-old male patient presented to the emergency department with
complaints of sustaining injuries in a road traffic accident by fall from a two-wheeler.
No history of loss of consciousness, vomiting, seizures, and ear/nose bleed. On examination,
the patient was conscious and coherent with a Glasgow Coma Scale score of 15/15 and
a laceration on the right frontotemporal region which was sutured. Contrast tomography
of the brain revealed an extradural hemorrhage of 10 mm thickness in the left parieto-occipital
region with soft tissue swelling in the right temporoparietal region, without any
evident fractures in the calvarium. The patient was managed conservatively. Contrecoup
extradural hematoma is a rare entity, and those without fracture are extremely rare.
Early diagnosis, careful observation, and management lead to a good outcome.
Key-words:
Contrecoup - extradural - hemorrhage - trauma - without fracture
