Vertex epidural hematoma: A rare cause of post-traumatic headache and a diagnostic challenge
Background: Vertex epidural hematomas (VEH) account for only 8% of all epidural hematomas. However, these traumatic injuries may be underestimated or overlooked altogether when only computed tomography (CT) scans are used for diagnosis. The vertex may be a potential anatomic "blind spot" o...
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Published in | Surgical neurology international Vol. 7; no. 11; pp. 276 - 278 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
Wolters Kluwer - Medknow Publications
2016
Medknow Publications & Media Pvt Ltd |
Subjects | |
Online Access | Get full text |
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Summary: | Background: Vertex epidural hematomas (VEH) account for only 8% of all epidural hematomas. However, these traumatic injuries may be underestimated or overlooked altogether when only computed tomography (CT) scans are used for diagnosis. The vertex may be a potential anatomic "blind spot" on this radiological method. In such cases, magnetic resonance (MRI) offers a great diagnostic aid.
Case Description: This manuscript reports a patient of a head trauma who developed progressive and intractable headache. MRI made the diagnosis of progressive VEH and highlighted the detachment of the superior sagittal sinus by the hematoma. Surgical treatment, because of the refractory clinical findings, was performed with good postoperative recovery.
Conclusion: Multiple trauma patients with progressive and refractory headache should have their head CT thoroughly reviewed and, if necessary, be investigated with MRI. |
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ISSN: | 2152-7806 2229-5097 2152-7806 |
DOI: | 10.4103/2152-7806.181982 |