IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Extradural hematoma

Case contributed by Frank Gaillard
Diagnosis certain

Patient Data

Age: 6 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

A right-sided parietal fracture with underlying bi-convex (lentiform) extradural hematoma. Note how the posterior edge of the collection is bounded by the parieto-occipital suture.

3 mth later conservative Rx

ct

The patient was treated conservatively. At 3 month follow-up, the extradural hematoma had essentially resolved with minor dural calcification remaining. 

Case Discussion

Not all extradural hematomas need surgical management. This is particularly true of smaller venous hematomas (e.g. those located in the anterior middle cranial fossa). 

Naturally very close clinical and imaging follow-up is required particularly in the first few days. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.