Supra- and infra-tentorial subacute extradural hematoma

Al-Zekri, M.; Aliyu, Ibrahim; Bachir, S.; Handis, Chafik; Khelifa, A.; Morsli, Abdelhalim

doi:10.1016/j.cjtee.2019.09.001

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…In a previous case series of three patients published by Aji et al, 9 all the patients underwent surgical evacuation of hematoma, and they concluded that clinical progression may be slow; however, deterioration is quick and fatal, so early diagnosis and prompt treatment are vital for reducing morbidity and preventing mortality. In a previous case report of a child with TSIEDH, Al-Zekri et al 10 concluded that any child with head trauma and occipital impact should be promptly evaluated for the possibility of posterior fossa EDH, which may or may not have a supratentorial component. Similarly, Pathak et al, 11 in a case report of delayed presentation of TSIEDH, concluded that the threshold to obtain imaging to rule out delayed hemorrhage should be low in any patient with a history of trauma in the region of a dural venous sinus.…”

Section: Discussionmentioning

confidence: 99%

Supra- and Infratentorial Extradural Hematoma: A Series of Three Cases with Literature Review

Ranjan,

Maurya,

Bhaisora

et al. 2024

Indian Journal of Neurotrauma

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The extradural hematoma (EDH) of the posterior fossa is a rare clinical condition in head injury cases. The posterior fossa extradural hematoma (PFEDH) contributes to not more than 4 to 8% of all the EDH encountered in traumatic brain injury. The limited volume of the posterior fossa leads to early clinical deterioration and, if not subjected to timely intervention, may be fatal. This rapid deterioration is because of significant compression over the brainstem and cervicomedullary junction as well as obstructive hydrocephalus. The PFEDHs are often associated with fracture of the occipital bone, which may lead to the extension of hematoma in the supratentorial and infratentorial spaces. The traumatic supra- and infratentorial EDH (TSIEDH) constitutes less than 2% of all the EDH. Limited literature is available regarding TSIEDH, and the majority are in the form of isolated case reports. We share our experience of three cases over the last 5 years from a tertiary care referral institute with a literature review of TSIEDH. Two of these cases were managed nonoperatively, and one underwent surgical evacuation of hematoma. In the present study, we share our experience regarding prompt diagnosis and management of this particular subset of traumatic brain injury patients. We also describe the surgical technique for evacuation of TSIEDH. Early diagnosis and prompt surgical intervention can be life-saving as these hematomas may have a benign clinical presentation but rapid clinical deterioration.

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Section: Discussionmentioning

confidence: 99%

Supra- and Infratentorial Extradural Hematoma: A Series of Three Cases with Literature Review

Ranjan,

Maurya,

Bhaisora

et al. 2024

Indian Journal of Neurotrauma

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“…Intraoperative mortality and morbidity are a concern in posterior fossa EDH. [ 1 , 3 ] Excellent recovery is seen following a safe approach and adequate hematoma evacuation.…”

Section: Introductionmentioning

confidence: 99%

Quartet of catastrophe: Bilateral epidural hematoma in both supratentorial and infratentorial compartments – A case report and a novel surgical technique to approach

Yadav,

Pandey

2023

Surgical Neurology International

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Background: Epidural hematoma (EDH) is the most common form of traumatic brain lesion in the posterior fossa. This condition is rapidly fatal if not identified and treated accordingly, due to the proximity of the brain stem. Prompt diagnosis is made by early computed tomography (CT) of the head and emergent evacuation is of utmost importance. Case Description: A 28-year-old male presented to the emergency room with complaints of headache and vomiting following a road traffic accident. CT scan revealed EDH around the transverse sinus extending into supratentorial and infratentorial compartment bilaterally. The patient was planned for emergency surgery but relatives did not give consent initially they agreed after 24 h when the patient became unconscious. A midline incision was made and a small infratentorial craniectomy with two burr holes was made bilaterally above the transverse sinus. Excellent recovery was seen following a surgical procedure. Conclusion: Posterior fossa EDH is a rare but potentially fatal entity. Bilateral extension in supratentorial and infratentorial compartments makes it a “quartet of catastrophe.” Prompt diagnosis and emergent evacuation lead to excellent recovery. Two burr holes in supratentorial compartments and a small infratentorial craniectomy can avoid sinus injury.

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Surgical management of supratentorial and infratentorial epidural hematoma in Korea: three case reports

Yoon,

Seok,

Kim

et al. 2023

J Trauma Inj

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Supratentorial and infratentorial epidural hematoma (SIEDH) is a rare but life-threatening complication following traumatic brain injury. However, the literature on SIEDH is sparse, consisting only of a few small series. Prompt diagnosis and the application of appropriate surgical techniques are crucial for the rapid and safe management of SIEDH. Herein, we present three cases of SIEDH treated at our institution, employing a range of surgical approaches.

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Supra- and infra-tentorial subacute extradural hematoma

Cited by 3 publications

References 6 publications

Supra- and Infratentorial Extradural Hematoma: A Series of Three Cases with Literature Review

Supra- and Infratentorial Extradural Hematoma: A Series of Three Cases with Literature Review

Quartet of catastrophe: Bilateral epidural hematoma in both supratentorial and infratentorial compartments – A case report and a novel surgical technique to approach

Surgical management of supratentorial and infratentorial epidural hematoma in Korea: three case reports

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