Extradural haematoma

Case contributed by Dr Ian Bickle

Presentation

Male foreign worker in his 40's, hit on head by a heavy falling object.

Patient Data

Age: 40 years old
Gender: Male
CT

Large left sided extra-dural haematoma with midline shift.

Underlying linear temporoparietal bone fracture.  The fracture traverses the coronal suture.

Case Discussion

Intracranial haemorrhage is common, a large proportion occurring following trauma.

It is one of the commonest causes for a CT to be performed out of office hours.

Extradural haematoma is a life threatening, but entirely salvageable, pathology, providing prompt diagnosis and surgery is undertaken.

The appearances are lentiform in nature, and accompanied by an underlying fracture in 95% of cases.   Although traditional teaching states unlike subdural haematomas, extradurals do not cross sutures it can identified, in children it is reported to occur in upto 11%.1

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Case information

rID: 30036
Case created: 14th Jul 2014
Last edited: 14th Mar 2016
Inclusion in quiz mode: Included

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