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Case Reports
. 2020 Dec 11:11:435.
doi: 10.25259/SNI_697_2020. eCollection 2020.

Posttraumatic synchronous double acute epidural hematomas: Two craniotomies, single skin incision

Nicola Montemurro  1 , Giorgio Santoro  2 , Walter Marani  3 , Giandomenico Petrella  3
Affiliations
Case Reports

Posttraumatic synchronous double acute epidural hematomas: Two craniotomies, single skin incision

Nicola Montemurro et al. Surg Neurol Int. .

Abstract

Background: Double epidural hematomas (EDHs) have a higher mortality rate compared to single EDHs and same Glasgow Coma Scale (GCS), although double EDHs incidence is less common.

Case description: We present the case of a 34-year-old female who underwent single skin incision and frontotemporal and suboccipital craniotomies for fatal traumatic double acute EDHs, then, a literature review was performed.

Conclusion: Double EDHs in association with low GCS at presentation and traumatic diastasis of cranial sutures or other maxillofacial injuries are associated to an unfavorable outcome.

Keywords: Epidural hematoma; Neurotrauma; Traumatic brain injury.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1:
Figure 1:
Preoperative noncontrast CT head scans show a right temporal epidural hematomas (EDHs) (a), a right posterior cranial fossa EDH (b), and a temporal bone fracture with diastasis of the lambdoid suture (c). Postoperative CT head scans (d-f) show evacuation of EDHs and resolution of the downward herniation.
Figure 2:
Figure 2:
Intraoperative (a) and postoperative (b) pictures show two different craniotomies and a single C-shaped skin incision starting from the right frontal region and ending to C1 level. Illustration depicting (c) shows the middle meningeal artery, transverse and sigmoid sinuses, and the craniotomies performed during surgery.
See this image and copyright information in PMC

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