Bilateral epidural haematoma

Abstract

Bilateral acute epidural haematoma are found in 2-10% cases. They are associated with high mortality. We have analysed twenty cases of bilateral epidural haematoma found over a period of eleven years. In 60% cases haematoma was across the midline and in 40% cases haematoma was found at different locations on either side. Skull fracture was present in 95% cases. Mortality in our series was 20%.

5 Cases of traumatic double acute extradural hematoma in M. D. M hospital Jodhpur, Rajasthan, India

“…3,4 However, in present series, there was single death and the outcomes were excellent. This may be due to widespread use of CT scan, diagnosis before deterioration of neurological status and surgical methods adopted by us.…”

Simultaneous multiple extradural hematomas

“…9 Bilateral EDHs consists of 2e10% of all acute epidural hematomas in adults. 10 In our study it was 8.8% of all EDHs.…”

Mirror image extradural hematoma in elderly population: management strategy with surgical bilateral or unilateral evacuation or conservative treatment modality with literature review

“…( [8][9][10] there is associated skull fracture observed in about 95-100% of patients in their imaging study. [7,8,9,11] In that case of bilateral EDH with fractures across the midline, the source of bleeding may result from the superior sagittal sinus.…”

“…[7,8,9,11] In that case of bilateral EDH with fractures across the midline, the source of bleeding may result from the superior sagittal sinus. [12] EDHs are contact injuries resulting from blunt trauma to the skull; it was thought that the initial impact with cranial fracture detaches the dura and injures blood vesselsonce bleeding begins, the extradural space fills with blood.…”