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Indian Journal of Neurotrauma 2014; 11(01): 71-74
DOI: 10.1016/j.ijnt.2014.03.001
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Horse shoe appearance of vertex extradural hematoma

Amit Agrawal
a   Professor, Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Kishor V. Hegde
b   Professor, Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
V. Umamaheswara Reddy
c   Assistant Professor, Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
,
Harneet Singh Ghotra
d   Resident, Department of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, India
› Author Affiliations
Subject Editor:
Further Information

Publication History

22 January 2014

01 March 2014

Publication Date:
06 April 2017 (online)

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Abstract

Vertex epidural hematomas (VEDHs) are well-known subtype of extradural hemorrhage, their clinical presentation can be misleading and these lesions may be missed by routine CT axial scanning. In the presented case we describe a case of 35-year man who had a large hyperdense collection with horse shoe shaped distribution on axial images. Sagittal and coronal reconstruction of the images showed greater details of the vertex extradural hematoma. 3D CT reconstruction showed diastasis of the coronal suture with fracture lines involving parietal bones. While the patient was waiting for the surgery he developed weakness of both lower limbs. The patient underwent evacuation of extradural hematoma in emergency. It is recommended to obtain CT slices until the bone of vertex in head injury patients so the diagnosis of VEDH should not be missed.

Keywords

Vertex epidural hematoma - Superior sagittal sinus - Horse shoe appearance - Epidural hematoma - Paraplegia
 

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