Extradural hematoma

Case contributed by Assoc Prof Frank Gaillard

Patient Data

Age: 6 years
Gender: Male
CT

A right-sided parietal fracture with underlying bi-convex (lentiform) extradural hematoma. Note how the posterior edge of the collection is bounded by the parieto-occipital suture.

3 months later - conservative management

CT

The patient was treated conservatively. At 3 month follow-up, the extradural hematoma had essentially resolved with minor dural calcification remaining. 

Case Discussion

Not all extradural hematomas need surgical management. This is particularly true of smaller venous hematomas (e.g. those located in the anterior middle cranial fossa). 

Naturally very close clinical and imaging follow-up is required particularly in the first few days. 

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