PDF herunterladen
CC BY 4.0 · Indian Journal of Neurotrauma 2024; 21(01): 074-076
DOI: 10.1055/s-0043-1769799
Case Report

Traumatic Acute Vertex Epidural Hematoma(vEDH): A Case Report

Lamkordor Tyngkan
1   Department of Neurosurgery, Bethany Hospital Shillong, Nongrim Hills, Shillong, Meghalaya, India
,
Memida Laloo
2   Department of Neurosurgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, Meghalaya, India
,
Mebanshanbor Garod Pasi
1   Department of Neurosurgery, Bethany Hospital Shillong, Nongrim Hills, Shillong, Meghalaya, India
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Vertex epidural hematoma (vEDH) is a rare type of intracranial hematoma, which accounts for 0.024% of all head injuries and 0.47 to 8.2% of intracranial hematoma, with high mortality rate of approximately 50% if not detected early. We report a case of 30-year-old male with fall from height presenting with headache and bradycardia. Craniotomy with complete evacuation of vEDH was done. vEDH is a relatively rare entity and in suspected case of vEDH one should always get thin cuts of computed tomography along with sagittal and coronal cuts.

Keywords

craniotomy - epidural hematoma - fall - hemostasis - vertex


Publikationsverlauf

Artikel online veröffentlicht:
13. Juli 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Aji YK, Rasi M, Apriawan T, Bajamal AH. Vertex extradural hematomas: when to operate?:  a case report. Indones J Neurosurg 2018; 2: 31-33
    PubMedSuche in Google Scholar
  • 2 Harbury OL, Provenzale JM, Barboriak DP. Vertex epidural hematomas: imaging findings and diagnostic pitfalls. Eur J Radiol 2000; 36 (03) 150-157
    CrossrefPubMedSuche in Google Scholar
  • 3 Hun J, Won K, Yoon K, Hyun T, Jong K, Kim H. Clinical features and treatment strategies for vertex epidural hematoma: a systematic review and meta - analysis from individual participant data. Neurosurg Rev 2021; 45 (01) 819-830
    CrossrefPubMedSuche in Google Scholar
  • 4 Columella F, Gaist G, Piazza G, Caraffa T. Extradural haematoma at the vertex. J Neurol Neurosurg Psychiatry 1968; 31 (04) 315-320
    CrossrefPubMedSuche in Google Scholar
  • 5 Messori A, Pauri F, Rychlicki F, Veronesi V, Salvolini U. Acute posttraumatic paraplegia caused by epidural hematoma at the vertex. AJNR Am J Neuroradiol 2001; 22 (09) 1748-1749
    PubMedSuche in Google Scholar
  • 6 Bullock MR, Chesnut R, Ghajar J. et al; Surgical Management of Traumatic Brain Injury Author Group. Surgical management of acute epidural hematomas. Neurosurgery 2006;58(3, suppl): S7– S15, discussion Si-iv
    PubMed