Post traumatic large vertex epidural hematoma without sagittal sinus injury: A case report and review of literature

Abstract

A 23-years-old young male patient was admitted to our hospital following head injury due to road traffic accident. He was unconscious and his Glasgow Coma Scale (GCS) was 7 out of 15. Computed tomography scan of head revealed a large epidural hematoma over bilateral frontal lobes convexity crossing the midline, extending posteriorly over fronto-parietal lobe convexity in the vertex beyond coronal suture and associated with fronto-parietal bone fracture. Emergency operation was done and the hematoma was evacuated. Intra operatively there was no sagittal sinus injury. Post operatively patient became conscious without any neurological deficit. We report our case of head injury with extensive epidural hematoma in bilateral frontal and vertex area without sagittal sinus injury and reviewing the literature.

A Series of Posttraumatik Midline Epidural Hematoma and Review of the Literature

“…Patients who were operated with a single craniotomy are reported to have good outcomes generally. [ 6 , 7 , 13 , 17 , 26 , 28 , 29 ] This approach may be a good option especially for cases with concomitant fragmented skull fractures or in need of direct access to sinus for bleeding control and direct repair. In need of sinus repair, several techniques could be executed.…”

“…[ 1 , 2 , 5 ] Furthermore, there are reports that do not indicate any dural sinus tear or arterial injury observed during evacuation of hematoma. [ 6 ]…”