Bilateral assymetric epidural hematoma
Autor: | Luis Armando Sawada, Edmundo Luis Rodrigues Pereira, Mário de Nazareth Hermes Jr., Daniella Brito Rodrigues, Lorena Oliveira Lima |
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Jazyk: | angličtina |
Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
Traumatic brain injury business.industry traumatic brain injury Head injury Glasgow Coma Scale hematoma Case Report Bilateral medicine.disease Surgery body regions Hematoma Epidural hematoma trauma Midline shift Skull fracture extradural medicine Neurology (clinical) business Intracranial pressure |
Zdroj: | Surgical Neurology International |
ISSN: | 2152-7806 2229-5097 |
Popis: | Background Acute bilateral extradural hematoma is a rare presentation of head trauma injury. In sporadic cases, they represent 0.5-10% of all extradural hematomas. However, higher mortality rates have been reported in previous series. Case description The authors described the case of a 28-year-old male presenting head injury, comatose, Glasgow Coma Scale of 6, anisocoric pupils without puppilary light reflex. Computed tomography showed asymmetric bilateral epidural hematomas, effacement of the lateral ventricles and sulci, midline shift and a bilateral skull fracture reaching the vertex. Surgical evacuation was performed with simultaneous hematoma drainage. Patient was discharged on the 29(th) postoperative day with no neurological deficit. Conclusion The correct approach on bilateral epidural hematomas depends on the volume, moment of diagnosis, and neurological deficit level. Simultaneous drainage of bilateral hematomas has been demonstrated to be an effective technique for it, which soon decreases the intracranial pressure and promotes an efficient resolution to the neurological damage. |
Databáze: | OpenAIRE |
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