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- A Successful Evacuation of Vertex Epidural Hematoma; A Case Report
- Jang Hun Kim, Haewon Roh, Jong Hyun Kim, Taek Hyun Kwon
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J Trauma Inj 2017;30(3):98-102
DOI: https://doi.org/10.20408/jti.2017.30.3.98
Published online: October 30, 2017
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Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea. jhkimns@naver.com
Received: 10 May 2017 • Revised: 3 July 2017 • Accepted: 4 July 2017
Abstract
Vertex epidural hematoma (VEH) is an uncommon presentation of all epidural hematomas and presents with a wide range of symptom and signs. Diagnosis as well as treatment of VEH is also difficult because of its location adjacent to superior sagittal sinus (SSS). A 43-year-old male visited our hospital after fall down and was diagnosed with VEH. While evaluating its location and patency of SSS, he was deteriorated and urgently underwent evacuation of VEH. Bilateral craniotomies on each side, leaving a central bony island to avoid bleeding of midline structure and provide an anchor for dural tack-ups. After the operation, VEH was totally removed and the patient has restored.
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