Anterior temporal extradural hematoma

Discussion:

This case illustrates a benign form of extradural hemorrhage that may happen in the context of trauma and usually not requiring surgical intervention. The anterior temporal extradural hematomas are considered to have a venous source of bleeding (spheno-parietal sinus or its major draining veins) instead of the expected arterial origin of the extradural hemorrhages. For this reason, and also being located anteriorly in the middle cranial fossa, they are associated with a low risk of midline shift, uncal herniation, and brainstem compression.

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