Spontaneous Extradural Haematoma with Sinusitis

Papadopoulos, Marios C.; Dyer, Aref; Hardwidge, Carl

doi:10.1177/014107680109401112

Cited by 20 publications

(20 citation statements)

References 6 publications

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“…Non-traumatic intracranial extradural hematomas (EDHs) are rare, and reports have associated their etiology with infections [3,9,14,20,25,29,31,33,37], coagulation disorders [39,43], hemodialysis, cardiac surgery [28,38], neoplasms [6,15,18,22,41], and vascular malformations [35]. The first case report of a spontaneous EDH was described in 1951 [37].…”

Section: Introductionmentioning

confidence: 99%

A review of spontaneous intracranial extradural hematoma in sickle-cell disease

et al. 2015

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Sickle-cell disease is common among patients of Afro-Caribbean origin. Though it can precipitate neurological conditions, it only rarely causes neurosurgical problems, with very few reported cases. We describe the case of a 7-year-old girl with a background of sickle-cell disease (SCD) brought into an acute neurosurgical unit in extremis, signs of a raised ICP, and with no history of recent trauma. Following further investigations, an acute drop in the hemoglobin and hematocrit levels were noted, with the cause of her presentation being attributed to a sickling crisis causing skull convexity infarction and resulting in spontaneous bilateral extradural hematomas requiring emergency evacuation. We review the current literature and propose the pathophysiological mechanism behind this phenomenon.

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Section: Introductionmentioning

confidence: 99%

A review of spontaneous intracranial extradural hematoma in sickle-cell disease

et al. 2015

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“…The risk is that the dura mater may become progressively stripped from the inner table of Spontaneous Epidural Hematoma Secondary to Sphenoid Sinusitis the skull by extension of pus, exudates, and air. 1,2,4,5,[8][9][10][11][12] In our patient, the inflammation probably spread through the bone defect to cause local arteritis and rupture of the blood vessels, and progressive detachment of the dura mater led to recurrent bleeding and the formation of the epidural hematoma. Epidural hematoma may show rapid onset in some cases, but progress more slowly in others.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Epidural Hematoma Secondary to Sphenoid Sinusitis -Case Report-

Takahashi

Hashimoto

Hino

2010

Neurol. Med. Chir.(Tokyo)

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Epidural hematoma is typically caused by direct head trauma. Spontaneous epidural hematoma can be caused by infections of adjacent regions, vascular malformations of the dura mater, and disorders of blood coagulation. A 10-year-old girl with no history of head injury presented with complaints of headache and fever. On arrival at our hospital, her Glasgow Coma Scale score was 13 and neurological examination revealed right oculomotor palsy and left hemiparesis. Computed tomography (CT) showed an epidural hematoma in the right temporal base. Preoperative angiography identified no specific vascular lesions. Removal of the hematoma was undertaken immediately. Retrospective evaluation of the preoperative CT revealed sphenoid sinusitis and a bone defect between the temporal base and the sphenoid sinus. The epidural hematoma was probably caused by the spread of inflammation from the sphenoid sinus. Sphenoid sinusitis is one of the possible causes of acute epidural hematoma, especially if no traumatic episodes or risk factors can be identified.

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“…In the spine, such hemorrhages have been associated with pregnancy [16], multiple myeloma [17], Paget disease [18], panarteritis nodosa [19], and following tissue plasminogen activator or heparin therapies [2,3]. Intracranially, spontaneous epidural hemorrhage may occur in the presence of metastases [20,21], infection [4,5,22], or vascular lesions such as middle meningeal artery aneurysms [1] or diploic venous thrombosis [23].…”

Section: Discussionmentioning

confidence: 99%

“…For example, patients receiving high-dose intravenous heparin during cardiac bypass surgery may suffer a spontaneous bleed [2,3]. Such hematomas may also occur in patients with craniofacial infections [4], sinusitis [5], or vascular anomalies [1]. Spontaneous epidural hematomas have also been reported in patients undergoing ventricular drainage for hydrocephalus [6].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous epidural hemorrhage in chronic renal failure

et al. 2004

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Spontaneous epidural hemorrhage has been described in a variety of clinical scenarios, including chronic renal failure (CRF). During hemodialysis, patients with CRF rarely develop spinal or cranial epidural hematomas. Such hemorrhages have been attributed to intracranial pressure fluctuations during hemodialysis, heparin administration, uremic-platelet syndrome, or hypertension. Although the exact pathophysiology is not understood, this rare consequence of hemodialysis has been well documented in the literature. Hemorrhage in the absence of hemodialysis therapy in a CRF patient, however, has not been previously reported. We report a 16-year-old boy with no history of trauma who woke in the morning with severe headache and resultant neurological deterioration. He was found to have a large left temperoparietal epidural hematoma and underwent urgent surgical evacuation. Postoperatively he developed a contralateral extra-axial hematoma that did not require surgical intervention. He recovered completely, with no significant neurological deficit. This unique presentation of spontaneous intracranial epidural hemorrhage in an adolescent not receiving hemodialysis highlights a rare, but serious, complication of CRF.

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Spontaneous Extradural Haematoma with Sinusitis

Cited by 20 publications

References 6 publications

A review of spontaneous intracranial extradural hematoma in sickle-cell disease

A review of spontaneous intracranial extradural hematoma in sickle-cell disease

Spontaneous Epidural Hematoma Secondary to Sphenoid Sinusitis -Case Report-

Spontaneous epidural hemorrhage in chronic renal failure

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