Left occipital late subacute epidural haematoma

Case contributed by Dr Fakhry Mahmoud Ebouda


Headache following sudden fell on the back of the skull during sport.

Patient Data

Age: 14 years
Gender: Male

Left occipital recent epidural hematoma. It exerts mass effect in the form of effacement of the overlying sulci and compression of the 4th ventricle.

Follow up of left occipital epidural haematoma. In this study: It appears heterogenous high signal on T1 and high on T2 & PD denoting late-subacute-extracellular met-haemoglobin. It exerts mass effect in the form of effacement of the related cortical sulci, compression of the 4th v and effacing the circumesecephalic cistern. An associated little amount of nearby left parietal subacute subdural bleed is seen.          

Case Discussion

An extradural haematoma (EDH) (also known as an epidural haematoma) is a collection of blood which forms between the inner surface of the skull and outer layer of dura.

Epidural or extradural hematoma is a type of traumatic brain injury.

Epidural haematoma usually presented early in the acute phase, but here in our case being presented as aging haematoma in the late subacute phase.

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Case information

rID: 28001
Published: 6th Mar 2014
Last edited: 13th Mar 2016
Inclusion in quiz mode: Included

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