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Extradural haematoma with conservative management

Case contributed by: Dr Frank Gaillard

Case Discussion:

This 6 year old boy fell and fractured his skull, with a resultant EDH

Initial imaging demonstrates a bi-convex (lentiform) extraaxial hyperdense collection consistent with an EDH. On bone window a minimally displaced fracture of the overlying bone can be seen.  Note how the posterior edge of the collection is bounded by the  parieto-occipital suture.

The patient was treated conservatively. At 3 month follow up the EDH had essentially resolved with minot dural calcification remaining. 

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