Extradural hemorrhage

Case contributed by Alexandra Stanislavsky


Dive into a shallow pool

Patient Data

Age: 30 years
Gender: Male

An extra-axial extradural hemorrhage at the vertex, which crosses the midline, displacing the falx and the superior sagittal sinus inferiorly.

There is an overlying subgaleal hematoma, and an associated fracture involving the right parietal bone, extending into the sagittal suture.

Case Discussion

This case highlights one of the features that differentiates an extradural hemorrhage from a subdural hemorrhage - that is, EDH may cross a dural reflection - in this case, the falx. Interestingly, it does not uphold the caveat that an EDH may not cross a suture line, freely crossing the saggital surture.

There is however an associated fracture extending into the saggital suture, and this and the probable injury to the superior saggital sinus, likely account for this EDH disrespecting the suture line.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.