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Bilateral symmetrical extradural hematoma in an older person: A case report
Mohammed Yassine Haouas1, Salma Lahlou2, Chaimaa Amry2
1Departement of Neurosurgery University Hospital Center Ibn Rochd Casablanca, Morocco; Laboratory of Research on Neurologic, Neurosensorial Diseases and Disability, Faculty of Medecine, HASSAN II University, Casablanca, Morocco.
Introduction And Importance:
The occurrence of bilateral extradural hematomas (EDH) is a rare consequence of craniocerebral trauma, and acute symmetrical bilateral epidural hematomas are extremely rare even more so in elderly subjects.
Presentation Of The Case:
We report the case of an 82-year-old patient who had fallen down a flight of stairs. Scalp examination was consistent with a bi-parietal subgaleal hematoma. Clinically, he was confused with a glascow score of 13/15. His brain scan showed bilateral and symmetrical parietal EDH with simple fractures of both parietal bones. The patient underwent a two-stage evacuation of the extra-dural hematomas.
Clinical Discussion:
The management of bilateral EDH cases requires careful planning, adequate exposure, judicious surgical approach and time management for good results.
Conclusion:
To our knowledge, no case of bilateral hematoma in an elderly subject has been reported in the literature.
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