Bilateral extradural haematomas

Abstract

Eleven cases of bilateral extradural haematomas were encountered in a total of 49 cases of extradural haematoma during a period of 4 years among 1000 consecutive cases of acute head injury. Assault was held responsible for 60 per cent of the total head injuries. Most of the patients were seen late; 8 were already unconscious and 5 had dilated fixed pupils. All 11 patients died, 4 soon after admission. Nine cases were found to have associated brain damage at autopsy. In 2 cases bilateral extradural haematomas with compression of the brain were the only intracranial abnormalities. In 4 cases a clost was missed on conventional exploration.

Posterior Fossa Extradural Haematomas

“…In three patients (12.5 % ) the PFEDH was bilateral, comparable to the report by Karasu et al [31] . However, acute bilateral PFEDHs are rare and up until 1997 there were only nine patients with such a lesion reported in the literature [1,8,10,20,43,50,55,58,62] . Fracture of occipital bone is a common feature (in 58 -95 % of PFEDHs), even though not all of them are visible on plain X-ray of the skull.…”

Clinical profile and management of head injury at tertiary health care center in rural area, India

“…Study done by Mckissock et al 4 had EDH at 8% of cases. Another study by Subramaniam & Rajendraprasad et al 5 showed EDH in 8.3% of cases. In our present study SDH was present in 15% of cases.…”

Bilateral epidural haematoma

“…Frank et al (1982) 5 on reviewing sixty-four cases of bilateral epidural haematoma found bilateral epidural haematoma in only 5 cases (8%) in paediatric age group. Subrahmanian et al (1975) 19, however, have reported high incidence (22%) of bilateral epidural haematoma in 49 cases and Jain and Kankanady 1~ reported two cases of bilateral epidural haematoma amongst eight cases of epidural haematoma.…”