Vertex epidural hematoma. Case report and literature review
Carlos Umberto Pereira, Gabriela Ferreira Kalkmann
Abstract
Introduction: The vertex epidural hematoma (VEH) is considered an infrequent post-traumatic extradural blood collection, formed by rupture of the superior sagittal sinus (SSS) and venous gaps, with an incidence of 0 to 8%. Objective: to present a VEH case, associated with a literature review. Case presentation: The patient presented with cervical pain, associated with falling from a motorcycle without wearing a helmet, admission Glasgow coma scale of 12, lower limbs paresis, and muscle strength grade 3 in the lower limbs. The skull computerized tomography (CT) evidenced extensive biparietal epidural hematoma, associated with bilateral motor cortex compression. He was submitted to the right parietal osteoplastic craniotomy with left extension, associated with blood clot drainage and small laceration suture in the SSS middle portion. Patient was discharged with no evident neurological deficit. Conclusion: The vertex epidural hematoma is an uncommon condition among cases of epidural hematoma. Its early diagnosis, performed mainly by axial CT and the appropriate treatment, has good results
Keywords
References
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Submitted date:
04/11/2025
Accepted date:
04/15/2025
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