Clinical diversity of vertex epidural hematoma: Report of three cases and review of the literature

Tomohiro Kawaguchi, Takayuki Hirano, Makoto Kawase, Hiroshi Karibe

Research output: Contribution to journalArticlepeer-review

Abstract

Vertex epidural hematoma (EDH), which is an unusual consequence of head trauma, is characterized with manifold clinical course, so that the treatment strategy is still controversial. We describe three cases of vertex EDH with different clinical course. The first case was surgically treated because of slowly progressive neurological deterioration. The second case showed rapid improvement with spontaneous hematoma wash out. The third case was treated conservatively because of the absence of clinical symptoms despite compression of the superior sagittal sinus. Although several cases have been reported, clinical study with large number of cases is not available. Our cases showed typical but characteristic time courses, and hopefully they recall the further clinical interest to gain better understanding of the natural course of vertex EDH. The clinical course of patients with vertex EDH should be carefully observed to determine the appropriate timing of surgery.

Original languageEnglish
Pages (from-to)942-947
Number of pages6
JournalJapanese Journal of Neurosurgery
Volume22
Issue number12
DOIs
Publication statusPublished - 2013 Dec 25

Keywords

  • Clinical diversity
  • Surgery
  • Treatment
  • Venous congestion
  • Vertex epidural hematoma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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