Rapid disappearance of acute posterior fossa epidural hematoma

Case report

Research output: Contribution to journalArticle

22 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 1

Fingerprint

Hematoma
Tomography
Transverse Sinuses
Epidural Space
Thiopental
Brain Edema
Wounds and Injuries
Neurologic Examination
Intensive Care Units
Pressure

Keywords

  • Acute epidural hematoma
  • Rapid disappearance

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Rapid disappearance of acute posterior fossa epidural hematoma : Case report. / Kang, Shin-Hyuk; Chung, Yong Gu; Lee, Hoon Kap.

In: Neurologia Medico-Chirurgica, Vol. 45, No. 9, 01.09.2005, p. 462-463.

Research output: Contribution to journalArticle

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