Articles

Vertex extradural hematomas: when to operate?: A case report

Yunus Kuntawi Aji , Matteo Rasi, Tedy Apriawan, Abdul Hafid Bajamal

Yunus Kuntawi Aji
Resident, Department of Neurosurgery, Faculty of Medicine Universitas Airlangga/dr. Soetomo Hospital, Surabaya, Indonesia. Email: yunus_kuntawi123ina@gmail.com

Matteo Rasi
Resident, Department of Neurosurgery, Faculty of Medicine Università di Verona, Verona, Italy

Tedy Apriawan
Neurotrauma Division, Department of Neurosurgery, Faculty of Medicine Universitas Airlangga/dr. Soetomo Hospital, Surabaya, Indonesia

Abdul Hafid Bajamal
Neurotrauma Division, Department of Neurosurgery, Faculty of Medicine Universitas Airlangga/dr. Soetomo Hospital, Surabaya, Indonesia
Online First: January 06, 2019 | Cite this Article
Aji, Y., Rasi, M., Apriawan, T., Bajamal, A. 2019. Vertex extradural hematomas: when to operate?: A case report. Indonesian Journal of Neurosurgery 1(2). DOI:10.15562/ijn.v1i2.43


Background: Vertex Extradural Hematomas (VEDHs) are rare consequence of head injury which represent another distinct group of EDHs. They may present with unusual clinical signs that can delay diagnosis and present a dilemma as to indication for and timing of surgery.

Case: A man with VEDHs was reffered to our institution due to neurological deterioration and worsening symptoms after conservative treatment. Emergency craniotomy was done to the patient. Postoperatively, the patient made good clinical improvement.

Conclusion: Prompt decision to surgery is vital for good outcome of patient with VEDHs.

 

Keyword: vertex, extradural hematoma

References

Ramesh VG, Kodeeswaran M, Deiveegan K, Sundar V, Sriram K. Vertex epidural hematoma: an analysis of large series. Asian J Neurosurg 2017; 12: 167-71. doi: 10.4103/1793-5482.145555.

Arun P. A large vertex extradural hematoma due to traumatic bilateral coronal suture diastasis. Neurol India. 2011 Nov-Dec; 59(6): 935-7. doi: 10.4103/0028-3886.91395.

Miller DJ, Steinmetz M, McCUtcheon IA. Vertex epidural hematoma: surgical versus conservative management: two case reports and review of the literature. Neurosurgery. 1999 Sep; 45(3): 621-5. doi: https://doi.org/10.1097/00006123-199909000-00036.

Jones TL, Crocker M, Martin AJ. A surgical strategy for vertex epidural haematoma. Acta Neurochir (2011) 153: 1819–20. doi: 10.1007/s00701-011-1069-3.

Dufour H, Metellus P, Manera L, Fuentes S, Do L, Grisoli F. Spontaneous vertex extradural hematoma: considerations about causes: case report and review of the literature. J Neurosurg 94: 633–6, 2001. doi: 10.3171/jns.2001.94.4.0633.

Harburry OL, Provenzale JM, Barboriak DP. Vertex epidural hematomas: imaging findings and diagnostic pitfalls. Eur J Radiol. 2000 Dec; 36(3): 150-7. doi: 10.1016/S0720-048X(00)00175-3.

Navarro JN, Alves RV. Vertex epidural hematoma: a rare cause of post-traumatic headache and a diagnostic challenge. Surg Neurol Int 2016; 7: S276-8. doi: 10.4103/2152-7806.181982.


No Supplementary Material available for this article.
Article Views      : 81
PDF Downloads : 51