Extradural hemorrhage (at vertex)

Case contributed by Dr Alexandra Stanislavsky


Dive into shallow pool.

Patient Data

Age: 30 years
Gender: Male

The axial and coronal brain CT demonstrates an extra-axial hemorrhage at the vertex, which crosses the midline, displacing the falx and the superior saggital sinus inferiorly.  There is an overlying subgaleal hematoma, and an associated fracture involving the right parietal bone, extending into the saggital suture.

Case Discussion

This case highlights one of the features that differentiates an extradural hemorrhage from a subdural hemorrhage - that is, EDH may cross a dural reflection - in this case, the falx. Interestingly, it does not uphold the caveat that an EDH may not cross a suture line, freely crossing the saggital surture.

There is however an associated fracture extending into the saggital suture, and this and the probable injury to the superior saggital sinus, likely account for this EDH disrespecting the suture line.

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Case information

rID: 18369
Published: 3rd Jul 2012
Last edited: 14th Aug 2019
Tag: trauma
Inclusion in quiz mode: Included

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