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Chronic simultaneous bilateral extradural haematomas

S Perera1, A J Keogh

  • 1Neurosurgery Department, Royal Preston Hospital, UK.

British Journal of Neurosurgery
|January 1, 1995
PubMed
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Chronic bilateral extradural hematomas are rare, often linked to severe trauma. This case highlights a successful surgical evacuation for a patient with seemingly minor trauma, demonstrating a favorable outcome.

Area of Science:

  • Neurosurgery
  • Trauma Surgery
  • Neurology

Background:

  • Bilateral extradural hematomas are uncommon neurological emergencies.
  • Typically associated with severe head trauma and high mortality rates.
  • Often present acutely, requiring prompt surgical intervention.

Observation:

  • A 39-year-old male presented with simultaneous bilateral extradural hematomas.
  • The associated trauma was perceived as trivial and initially unrecognized.
  • The patient exhibited symptoms indicative of chronic hematoma development.

Findings:

  • Surgical intervention involved unilateral evacuation.
  • The patient experienced a curative outcome following the unilateral procedure.
  • This case challenges the typical acute presentation and trauma association.

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Implications:

  • Suggests that trivial or unrecognized trauma can lead to bilateral extradural hematomas.
  • Highlights the possibility of chronic presentations of this condition.
  • Indicates that unilateral surgical evacuation can be curative even in bilateral cases.