Vertex extradural haematoma with associated lesions--improving clinical course with sudden death. Conservative versus surgical treatment

Although precise criteria have not been assessed yet, small haematomas and clinical improvement claim only close observation according to literature. However a question can arise how to advance in patient with vertex epidural haematoma (VEPH) thinner than 10 mm associated with intradural lesions, wh...

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Bibliographic Details
Published inBratislavské lékarské listy Vol. 108; no. 9; p. 409
Main Authors Balik, V, Sulla, I
Format Journal Article
LanguageEnglish
Published Slovakia 2007
Subjects
Adult
Fatal Outcome
Hematoma, Epidural, Cranial - diagnostic imaging
Hematoma, Epidural, Cranial - therapy
Humans
Male
Tomography, X-Ray Computed
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Summary:Although precise criteria have not been assessed yet, small haematomas and clinical improvement claim only close observation according to literature. However a question can arise how to advance in patient with vertex epidural haematoma (VEPH) thinner than 10 mm associated with intradural lesions, when his neurological state is improving. The authors present a case of a man who was conservatively treated due to an epidural clot at the vertex associated with intracerebral haematomas, subarachnoid haemorrhage and haemocephalus diagnosed by computed tomography (CT). Despite his neurologically stable condition with slow, but continuous improvement, after few days the patient suddenly died. Authors analyze advantages and disadvantages of conservative vs. surgical treatment of this pathological condition (Fig. 8, Ref. 31). Full Text (Free, PDF) www.bmj.sk.
ISSN:0006-9248