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CC BY-NC-ND 4.0 · Asian J Neurosurg 2017; 12(04): 718-720
DOI: 10.4103/1793-5482.215758
Case Report

Vertex extradural hematoma: A diagnostic dilemma

Jayendra Kumar
Department of Neurosurgery, Narayan Medical College and Hospital, Sasaram, Bihar
,
Anand Prakash
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand
,
Viraat Harsh
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand
,
Anil Kumar
1   Department of Neurosurgery, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand
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Extradural hematomas (EDHs) of vertex are rarely seen and form a small percentage of all EDH. Usual cause of an EDH located at the vertex is tearing of the superior sagittal sinus. A 35-year-old male patient was admitted to our department, with history of fall and lucid interval. Imaging studies showed contusion in the right frontal region with midline shift and bilateral EDH located at vertex which was misinterpreted as artifact or subdural hematoma. We present this rare case and briefly review the literature regarding its etiopathology and associated clinico-radiological findings. The principles of management of this rare entity are also discussed.

Key-words:

Lucid interval - superior sagittal sinus - vertex extradural hematoma


Publication History

Article published online:
20 September 2022

© 2017. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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