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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 322-324
DOI: 10.4103/ajns.AJNS_283_18
Case Report

Contrecoup extradural hematoma without fracture: A case report and review of literature

Siddartha Musali
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Srikrishnaditya Manne
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Nagarjuna Butkuri
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Prakash Gollapudi
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Thatikonda Kumar
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
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Extradural hemorrhages are commonly seen in coup head injuries, rarely seen in contrecoup head injuries. Acute extradural hemorrhage in the coup head injuries associated with a fracture is common, but the incidence of acute contrecoup extradural hemorrhage not associated with the fracture is extremely rare. Only 21 cases have been reported previously. A 28-year-old male patient presented to the emergency department with complaints of sustaining injuries in a road traffic accident by fall from a two-wheeler. No history of loss of consciousness, vomiting, seizures, and ear/nose bleed. On examination, the patient was conscious and coherent with a Glasgow Coma Scale score of 15/15 and a laceration on the right frontotemporal region which was sutured. Contrast tomography of the brain revealed an extradural hemorrhage of 10 mm thickness in the left parieto-occipital region with soft tissue swelling in the right temporoparietal region, without any evident fractures in the calvarium. The patient was managed conservatively. Contrecoup extradural hematoma is a rare entity, and those without fracture are extremely rare. Early diagnosis, careful observation, and management lead to a good outcome.

Key-words:

Contrecoup - extradural - hemorrhage - trauma - without fracture

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Nil.




Publication History

Article published online:
09 September 2022

© 2019. 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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