Intracranial extradural hematoma: Spontaneous rapid decompression - not resolution

The surgical option to evacuate an intracranial extradural hematoma (EDH) was postponed in a 2-year-old female child who appeared fully alert and active after a brief spell of unconsciousness following a fall from height. The child was received, with a swelling on and around the right parietal emine...

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Bibliographic Details
Published inJournal of pediatric neurosciences Vol. 10; no. 3; pp. 266 - 269
Main Authors Bhat, Abdul Rashid, Raswan, Uday Singh, Kirmani, Altaf Rehman
Format Journal Article
LanguageEnglish
Published India Medknow Publications & Media Pvt. Ltd 01.07.2015
Medknow Publications & Media Pvt Ltd
Subjects
Case Report
spontaneous rapid decompression
Extradural hematoma
nonsurgical management
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Summary:The surgical option to evacuate an intracranial extradural hematoma (EDH) was postponed in a 2-year-old female child who appeared fully alert and active after a brief spell of unconsciousness following a fall from height. The child was received, with a swelling on and around the right parietal eminence, by the emergency staff just half an hour after the time of injury. The immediate X-ray skull and first computed tomography (CT) scan head showed a parietal bone fracture, EDH, and cephalhematoma. However, follow-up CT scan head after about 4½ h revealed the dramatic absence of EDH but increased size and bogginess of cephalhematoma. The EDH had transported into subgaleal space resulting in a decompression of intracranial compartment in <5 h, thereby preventing surgical intervention but necessitating monitoring, though there was no back flow intracranially.
ISSN:1817-1745
1998-3948
DOI:10.4103/1817-1745.165698