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Case Reports
. 2023 Sep 14;19(4):480-486.
doi: 10.13004/kjnt.2023.19.e45. eCollection 2023 Dec.

Vertex Epidural Hematomas: Discussion of a Rare Traumatic Injury Through a Mini Series of 3 Cases

Ghassen Gader  1 , Ala Belhaj  2 , Mohamed Badri  1 , Kamel Bahri  1 , Ihsèn Zammel  1
Affiliations
Case Reports

Vertex Epidural Hematomas: Discussion of a Rare Traumatic Injury Through a Mini Series of 3 Cases

Ghassen Gader et al. Korean J Neurotrauma. .

Abstract

Vertex epidural hematomas are very uncommon complications of traumatic head injury. Besides the volume of the epidural bleeding, compression of the superior sagittal sinus may be source for added elevated intracranial pressure. Clinical presentation of such lesions is heterogenous and symptoms can develop in an acute to a chronic frame. Radiological diagnosis can sometimes be challenging. Due to its rarity, such lesions have been only reported on case reports and small series and the management remain controversial. Hereby we report 3 cases of surgically managed post traumatic acute epidural hematomas of the vertex. Wen also went through a literature-based discussion of clinical, radiological and therapeutic features related to this condition.

Keywords: Brain trauma; Cranial epidural hematoma; Neurosurgery; Vertex.

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Conflict of interest statement

Conflict of Interest: The authors have no financial conflicts of interest.

Figures

FIGURE 1
FIGURE 1. Coronal section of a brain computed tomography scan showing an epidural hematoma of the vertex mainly located on the left side of the sinus.
FIGURE 2
FIGURE 2. 3D reconstruction of a postoperative computed tomography scan on bony windows showing the location of the performed craniotomy.
FIGURE 3
FIGURE 3. Axial (A), sagittal (B) and coronal (C) sections of a brain computed tomography scan showing an epidural hematoma of the vertex. 3D reconstruction on bony sections of the same scan (D) showed a fracture located towards the skull midline.
FIGURE 4
FIGURE 4. Peroperative picture showing the location of the craniotomies leaving a bony bridge between them.
FIGURE 5
FIGURE 5. Postoperative computed tomography scan showing a subtotal removal of the hematoma.
FIGURE 6
FIGURE 6. Axial (A), coronal (B) and sagittal sections (C) of a brain computed tomography scan showing an epidural hematoma of the vertex. 3D reconstruction on bony sections of the same scan (D) showed a fracture of the parietal bone crossing the midline.
FIGURE 7
FIGURE 7. Postoperative computed tomography scan showing a total removal of the hematoma as well as the epidural drain.
See this image and copyright information in PMC

References

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