Extradural hematoma

Case contributed by Dr Saeed Soltany Hosn

Presentation

Road trafic accident

Patient Data

Age: 25 years
Gender: Male
CT

A biconvex epidural hematoma over the right frontal lobe which is homogeneously hyperdense.

There is evidence of midline shift and subfalcine herniation.

A fracture line is noted at the right temporal bone as well.

Case Discussion

Extradural hematoma is one form of extra-axial collection. It is usually associated with trauma, the shaped said to represent a lemon, as opposed to a banana appearance with a subdural hematoma.

In 95% of cases, an underlying fracture is present.

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