Traumatic supra- and infra-tentorial extradural hematoma (TSIEDH) is a rare lesion
constituting <2% of all extradural hematomas. There are only a few published articles
about TSIEDH. This study included three patients with TSIEDH who were treated and
operated at Dr. Soetomo General Hospital, Surabaya, Indonesia, from August 2015 to
July 2016. Two patients sustained injuries in traffic accidents and one patient was
injured by fall. The male to female ratio was 1:2. Glasgow Coma Scale (GCS) score
≤8 was present in one and GCS score of 9–12 was present in two patients. The brain
computed tomography scan verified linear fracture of occipital bone in one and linear
fracture of occipital bone with lambdoid suture separation in two patients. Early
diagnosis and early surgical intervention of TSIEDH are imperative because the deterioration
of TSIEDH is sudden and quick. We presented our experience in treating patients with
TSIEDH in Dr. Soetomo General Hospital, Surabaya, Indonesia.
Key-words:
Extradural hematoma - infratentorial - posterior fossa - supratentorial - traumatic