Anterior temporal extradural hematoma

Discussion:

This case illustrates a benign form of extradural hemorrhage that may happen in the context of trauma and usually does not require surgical intervention. The anterior temporal extradural hematomas are considered to have a venous source of bleeding (sphenoparietal sinus or its major draining veins) instead of the expected arterial origin of the extradural hemorrhages. For this reason, and also for locating anteriorly in the middle cranial fossa, they are associated with a low risk of midline shift, uncal herniation, and brainstem compression.

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