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Asymmetric Bilateral Traumatic Epidural Hematoma: A Report of a Rare Traumatic Lesion

Bilateral epidural hematoma is a rare presentation in head trauma injuries, accounting for only 1%–2% of all epidural hematomas, but with a higher mortality rate than the unilateral form. Herein, we report the case of a 27-year-old man admitted to our department following a road traffic accident. On...

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Detalles Bibliográficos
Autores principales: Gader, Ghassen, Jemel, Nesrine, Krifa, Mohamed Ilyes, Ali, Kerima Bel Hadj, Rkhami, Mouna, Zammel, Ihsèn, Badri, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634312/
https://www.ncbi.nlm.nih.gov/pubmed/36381444
http://dx.doi.org/10.13004/kjnt.2022.18.e45
Descripción
Sumario:Bilateral epidural hematoma is a rare presentation in head trauma injuries, accounting for only 1%–2% of all epidural hematomas, but with a higher mortality rate than the unilateral form. Herein, we report the case of a 27-year-old man admitted to our department following a road traffic accident. On admission,his Glasgow Coma Scale (GCS) score was 13/15. After a few minutes, he became comatose (GCS 6/15) with right anisocoria. CT scan revealed a bilateral asymmetric epidural hematoma with a left extralabyrinthic linear fracture. Surgical evacuation was subsequently performed, starting with the voluminous right hematoma. The patient was discharged on the 23rd postoperative day with a right third-nerve palsy. Conclusions: In this case report, we discuss the etiology, mechanism, and management of bilateral epidural hematoma. Early diagnosis and a judicious surgical approach for bilateral epidural hematoma are necessary to minimize mortality and morbidity. Prevention is key to reducing traumatic brain injuries.