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[Epidural hematoma at the vertex: case report].

Luiz Fernando Júnior Haikel1, Sérgio Listik, José Carlos Júnior Rodrigues

  • 1Serviço de Neurocirurgia do Complexo Hospitalar Heliópolis, São Paulo SP, Brasil. lfhjr@zipmail.com.br

Arquivos De Neuro-Psiquiatria
|August 17, 2005
PubMed
Summary

A rare epidural traumatic hematoma at the vertex caused severe intracranial hypertension in a 37-year-old man. Prompt diagnosis via CT scans and surgical hematoma removal led to recovery.

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Area of Science:

  • Neurosurgery
  • Trauma Surgery

Background:

  • Epidural hematomas are typically associated with skull fractures.
  • Traumatic vertex epidural hematomas are uncommon, especially without associated fractures.

Observation:

  • A 37-year-old male presented with symptoms of intracranial hypertension.
  • Imaging revealed an epidural hematoma located at the vertex of the skull.

Findings:

  • Diagnosis was confirmed using coronal computed tomography (CT) scans.
  • Surgical intervention via craniotomy successfully removed the hematoma.

Implications:

  • This case highlights the importance of considering epidural hematomas even in unusual locations.
  • Timely surgical decompression is crucial for managing intracranial hypertension and improving patient outcomes.

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