Contrecoup epidural hematoma: a rare case report

Abstract

Epidural hematoma (EDH) is defined as a traumatic accretion of blood separating the dural membrane and the internal table of the skull that caused from contact bending or skull fracture. The cases of contrecoup EDH are as not common, and there are just 10 recorded cases on this. As a result of its uncommonness, we disclose one subject of a 33-year-old man having countrecoup EDH who suffered from a head trauma caused by falling from 4 meters high. The main symptoms were decreasing consciousness and vomiting. Clinical findings showed a Glasgow Coma Scale score of 9, laceration in the left parietal region with stable hemodynamic. Head Computed tomography showed a large EDH in the right frontal and temporal region with coronal suture diastasis. The patient immediately underwent surgery, and craniotomy with evacuation of extradural hematoma were performed. This case presents that a force, which creates an angle, can propagates and causes opposite coronal suture diastasis and makes contrecoup EDH.

Traumatismo craneoencefálico en adultos jóvenes: una serie de casos y análisis de su pronóstico

“…El trauma óseo o el trauma de cráneo óseo, se caracteriza por fracturas que pueden estar desplazadas, son más frecuentes en accidentes de alta velocidad, como los accidentes en moto sin casco, pudiendo existir fracturas óseas por traumas de aceleración y desaceleración (11). El hematoma epidural es de resolución quirúrgica y se refiere a una acumulación traumática de sangre entre la duramadre y la tabla interna del cráneo, puede ser causada por contacto o por la fractura del cráneo desplazada (12). Hematoma subdural es una acumulación patológica de sangre en el espacio subdural con un inicio, progresión y sintomatología variable (13).…”