Horse shoe appearance of vertex extradural hematoma

Vertex epidural hematomas (VEDHs) are well-known subtype of extradural hemorrhage, their clinical presentation can be misleading and these lesions may be missed by routine CT axial scanning. In the presented case we describe a case of 35-year man who had a large hyperdense collection with horse shoe...

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Bibliographic Details
Published inThe Indian journal of neurotrauma Vol. 11; no. 1; pp. 71 - 74
Main Authors Agrawal, Amit, Hegde, Kishor V., Umamaheswara Reddy, V., Ghotra, Harneet Singh
Format Journal Article
LanguageEnglish
Published Elsevier B.V 01.06.2014
Thieme Medical and Scientific Publishers Private Ltd
Subjects
Case Report
Epidural hematoma
Horse shoe appearance
Paraplegia
Superior sagittal sinus
Vertex epidural hematoma
Superior sagittal sinus
Paraplegia
Vertex epidural hematoma
Epidural hematoma
Horse shoe appearance
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Summary:Vertex epidural hematomas (VEDHs) are well-known subtype of extradural hemorrhage, their clinical presentation can be misleading and these lesions may be missed by routine CT axial scanning. In the presented case we describe a case of 35-year man who had a large hyperdense collection with horse shoe shaped distribution on axial images. Sagittal and coronal reconstruction of the images showed greater details of the vertex extradural hematoma. 3D CT reconstruction showed diastasis of the coronal suture with fracture lines involving parietal bones. While the patient was waiting for the surgery he developed weakness of both lower limbs. The patient underwent evacuation of extradural hematoma in emergency. It is recommended to obtain CT slices until the bone of vertex in head injury patients so the diagnosis of VEDH should not be missed.
ISSN:0973-0508
2213-3739
DOI:10.1016/j.ijnt.2014.03.001