Korean J Neurotrauma.  2022 Oct;18(2):324-328. 10.13004/kjnt.2022.18.e45.

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

• Gader G
• Jemel N
• Krifa MI
• Hadj Ali KB
• Rkhami M
• Zammel I
• Badri M

• KMID: 2538467
• DOI: http://doi.org/10.13004/kjnt.2022.18.e45

Abstract

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.

Keyword

Hematoma; Trauma; Neurosurgery