Indian Journal of Neurotrauma 2016; 13(03): 174-176
DOI: 10.1055/s-0036-1597943
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Multiterritorial Extradural Hematoma: Evacuation through Single Incision and Multiple Craniotomies

Sachin Ranganatha Goudihalli
1   Department of Neurosurgery, Fortis Hospital, Mohali, India
,
Mandar Patil
1   Department of Neurosurgery, Fortis Hospital, Mohali, India
,
Rahat Brar
2   Department of Radiodiagnosis, Fortis Hospital, Mohali, India
,
Ashis Pathak
1   Department of Neurosurgery, Fortis Hospital, Mohali, India
› Author Affiliations
Further Information

Publication History

12 November 2016

20 December 2016

Publication Date:
28 December 2016 (online)

Abstract

We report a case of extradural hematoma (EDH) involving multiple territories. Patient was operated upon through a single incision and multiple craniotomies, with gradual postoperative improvement. It is concluded that a single incision can suffice to evacuate multiple EDHs from different territories with early recovery and less morbidity.

 
  • References

  • 1 Karasu A, Sabanci PA, Izgi N , et al. Traumatic epidural hematomas of the posterior cranial fossa. Surg Neurol 2008; 69 (3) 247-251 , discussion 251–252
  • 2 Huda MF, Mohanty S, Sharma V, Tiwari Y, Choudhary A, Singh VP. Double extradural hematoma: an analysis of 46 cases. Neurol India 2004; 52 (4) 450-452
  • 3 Idei M, Shima T, Nishida M , et al. Symmetrical bilateral epidural hematoma after head injury in the mid parietooccipital region: case report [in Japanese]. No Shinkei Geka 2004; 32 (4) 379-382
  • 4 Frank E, Berger TS, Tew Jr JM. Bilateral epidural hematomas. Surg Neurol 1982; 17 (3) 218-222
  • 5 Gurdjian ES. Recent advances in the study of the mechanism of impact injury of the head--a summary. Clin Neurosurg 1972; 19: 1-42
  • 6 Görgülü A, Cobanoglu S, Armagan S, Karabagli H, Tevrüz M. Bilateral epidural hematoma. Neurosurg Rev 2000; 23 (1) 30-33
  • 7 Dharker SR, Bhargava N. Bilateral epidural haematoma. Acta Neurochir (Wien) 1991; 110 (1-2): 29-32
  • 8 Feuerman T, Wackym PA, Gade GF, Lanman T, Becker D. Intraoperative development of contralateral epidural hematoma during evacuation of traumatic extraaxial hematoma. Neurosurgery 1988; 23 (4) 480-484
  • 9 Agrawal A. Bilateral symmetrical parietal extradural hematoma. J Surg Tech Case Rep 2011; 3 (1) 34-36