Epidural haematoma

Case contributed by Dr David Cuete

Presentation

Patient falls headlong from 2 meters

Patient Data

Age: 30
Gender: Male
CT

Computed tomography shows extensive linear fracture at the vertex of the skull involving the sagittal suture. Below this, there is a large biconvex collection of blood displacing the superior sagittal sinus inferiorly and compressing the underlying parenchyma.

Case Discussion

The findings described are consistent with a traumatic epidural hematoma due to venous bleeding from the superior sagittal sinus. Note, that unlike most extradural haematomas, this bleed crosses the superior sagittal suture as the periosteal layer of the dura is disrupted by the fracture. 

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Case information

rID: 23979
Case created: 21st Jul 2013
Last edited: 24th Sep 2017
Inclusion in quiz mode: Included

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