Bilateral frontal acute epidural hematoma

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Road traffic accident

Patient Data

Age: 25 years
Gender: Male

Bilateral frontal epidural hematomas are seen, of maximum thickness about 5 cm on the right side and 3.5 cm on the left side. Associated brain edema with marked mass effect in the form of effacement of cerebral sulci, compression of the third and lateral ventricles with possible uncal herniation.

Hemorrhagic foci are seen at the right frontal grey-white matter junction and right temporal region. Also noted few scattered intracerebral petechial hemorrhage at the left para-falcine area.

Post evacuation CT

CT

Axial and coronal images seen after operative intervention and evacuation of bilateral epidural hematoma.

Case Discussion

Road traffic accident with extra-axial biconvex recent blood collection is typical of a traumatic epidural hematoma.

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