Rapid disappearance of acute posterior fossa epidural hematoma: Case report

Shin Hyuk Kang, Yong Gu Chung, Hoon Kap Lee

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

A 34-year-old man presented with an acute epidural hematoma that resolved within 24 hours after a fall. On admission, neurological examination found no abnormalities. Computed tomography (CT) indicated a linear fracture in the occiput. Four hours after the injury, the patient's condition worsened and repeat CT showed a bilateral epidural hematoma in the posterior fossa extending over the bilateral transverse sinuses and severe brain swelling. The patient's family refused surgery. Conservative management with pentothal was performed in the intensive care unit. Follow-up CT 21 hours after the initial injury showed complete resolution of the hematoma and an increase in the CT density of the pericranial soft tissue near the hematoma. The pressure gradient between the subgaleal and epidural space may have been important in the rapid disappearance of this epidural hematoma.

Original languageEnglish
Pages (from-to)462-463
Number of pages2
JournalNeurologia Medico-Chirurgica
Volume45
Issue number9
DOIs
Publication statusPublished - 2005 Sep

Keywords

  • Acute epidural hematoma
  • Rapid disappearance

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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