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J Trauma Inj. 2017 Sep;30(3):98-102. English. Case Report. https://doi.org/10.20408/jti.2017.30.3.98
Kim JH , Roh H , Kim JH , Kwon TH .
Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea. jhkimns@naver.com
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.

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