Acute-on-Chronic Vertex Epidural Hematoma with Diastasis of the Sagittal Suture in an Adult

Klepinowski, Tomasz; Kawalec, P; Larysz, Michał; Sagan, Leszek

doi:10.1016/j.wneu.2020.04.088

Cited by 4 publications

(6 citation statements)

References 7 publications

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“…described a case of a vertex epidural hematoma that was MRI T1 isointense and T2 heterointense. [ 9 ] Our patient presented with an uncommon nonlife-threatening symptom of diplopia, which facilitated MRI that revealed a T1 hyperintense rim surrounding a T1 heterointense, FLAIR hyperintense, and diffusion restricting lesion in the left temporal region causing mass effect and compression of the left midbrain [ Figure 1 a-d]. On arrival to the hospital, CT demonstrated the well-described rim-enhancing features of a chronic epidural hematoma.…”

Section: Discussionmentioning

confidence: 90%

“…Traumatic chronic epidural hematomas have different characteristics on CT, including an ossified rim with a hyperdense core,[ 8 ] rim enhancing with a heterointense core,[ 3 ] or having an ill-defined capsule with a hyperdense core. [ 9 ] Depending on when the patient became symptomatic and underwent CT imaging, the hematoma appears to have different characteristics. According to reports from de Oliveira Sillero et al .…”

Section: Discussionmentioning

confidence: 99%

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Chronic epidural hematoma presenting with diplopia

Lim

Housley

Drumsta

et al. 2021

Surgical Neurology International

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Background: Epidural hematomas are common intracranial pathologies secondary to traumatic brain injuries and are associated with overlying skull fractures up to 85% of the time. Although many require immediate surgical evacuation, some are observed for stability and followed up conservatively with serial imaging or enlarge slowly overtime, similar to chronic subdural hematomas. Those in the latter category may present with vague symptoms such as diplopia or headache and are often found on routine outpatient evaluation. When concerning findings such as significant mass effect are present, surgical evacuation is necessary. Case Description: Here, we present the case of a 32-year-old man who presented with diplopia 6 weeks after experiencing head trauma and was found to have a chronic epidural hematoma. On resection, thick, inflammatory tissue was observed and carefully resected, revealing normal dura underneath. Six weeks after evacuation of the hematoma, the patient had near-complete resolution of his diplopia and complete resolution of his epidural hematoma. Conclusion: Given the consistency and nature of the fibrous material observed intraoperatively in this case, near-complete resection of the tissue was likely necessary to help facilitate adequate reexpansion of brain parenchyma and improve clinical outcomes.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Chronic epidural hematoma presenting with diplopia

Lim

Housley

Drumsta

et al. 2021

Surgical Neurology International

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“… 9) Pain is the most common symptom. 5) Headaches are secondary to different factors, such as direct dural irritation caused by detachment along the SSS, considering that the dura in this area is richly innervated by sensory fibers. Increased intracranial pressure secondary to both the added volume and compression of the SSS and venous system is also an important source of headaches.…”

Section: Discussionmentioning

confidence: 99%

“…Increased intracranial pressure secondary to both the added volume and compression of the SSS and venous system is also an important source of headaches. 5 11) …”

Section: Discussionmentioning

confidence: 99%

“…Multiplanar imaging makes the diagnosis much easier because the diagnosis of VEH on axial CT may sometimes be challenging. 5) In fact, many investigators have noticed that acute VEH may be overlooked on classic CT because of a blind spot near the top of the calvaria. 9) Coronal and sagittal sections are mandatory for diagnosis when vague hyperdense collections are visualized on the highest sections of axial CT with the coexistence of a fracture running across the vault of the skull or diastasis of the sagittal or coronal suture.…”

Section: Discussionmentioning

confidence: 99%

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Vertex Epidural Hematomas: Discussion of a Rare Traumatic Injury Through a Mini Series of 3 Cases

Gader,

Belhaj,

Badri

et al. 2023

Korean J Neurotrauma

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Vertex epidural hematomas are very uncommon complications of traumatic head injury. Besides the volume of the epidural bleeding, compression of the superior sagittal sinus may be source for added elevated intracranial pressure. Clinical presentation of such lesions is heterogenous and symptoms can develop in an acute to a chronic frame. Radiological diagnosis can sometimes be challenging. Due to its rarity, such lesions have been only reported on case reports and small series and the management remain controversial. Hereby we report 3 cases of surgically managed post traumatic acute epidural hematomas of the vertex. Wen also went through a literature-based discussion of clinical, radiological and therapeutic features related to this condition.

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Post-craniotomy coronal suture diastases in a transformed lower grade glioma

Pinheiro,

Awan,

Wroe-Wright

et al. 2024

Journal of Surgical Case Reports

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Cranial suture diastases are an uncommon clinical entity, with post craniotomy diastases being a previously undescribed finding in literature to our best knowledge. Herein, we report a case of a 28-year-old adult who underwent a second-stage low-grade glioma surgery 7 months after initial surgery. This study presents coronal suture diastases adjacent to the previously performed craniotomy. After literature and pathophysiology review, we found it to be unique and that the craniotomy can resemble the mechanical stress of trauma.

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Acute-on-Chronic Vertex Epidural Hematoma with Diastasis of the Sagittal Suture in an Adult

Cited by 4 publications

References 7 publications

Chronic epidural hematoma presenting with diplopia

Chronic epidural hematoma presenting with diplopia

Vertex Epidural Hematomas: Discussion of a Rare Traumatic Injury Through a Mini Series of 3 Cases

Post-craniotomy coronal suture diastases in a transformed lower grade glioma

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