J Korean Soc Traumatol.  2017 Sep;30(3):98-102. 10.20408/jti.2017.30.3.98.

A Successful Evacuation of Vertex Epidural Hematoma; A Case Report

• Kim JH
• Roh H
• Kim JH
• Kwon TH

• KMID: 2394563
• DOI: http://doi.org/10.20408/jti.2017.30.3.98

Abstract

Vertex epidural hematoma (VEH) is an uncommon presentation of all epidural hematomas and presents with a wide range of symptom and signs. Diagnosis as well as treatment of VEH is also difficult because of its location adjacent to superior sagittal sinus (SSS). A 43-year-old male visited our hospital after fall down and was diagnosed with VEH. While evaluating its location and patency of SSS, he was deteriorated and urgently underwent evacuation of VEH. Bilateral craniotomies on each side, leaving a central bony island to avoid bleeding of midline structure and provide an anchor for dural tack-ups. After the operation, VEH was totally removed and the patient has restored.

Keyword

Vertex; Epidural hematoma; Extra-axial hematoma

MeSH Terms

Adult
Craniotomy
Diagnosis
Hematoma*
Hemorrhage
Humans
Male
Superior Sagittal Sinus