- A Successful Evacuation of Vertex Epidural Hematoma; A Case Report
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Jang Hun Kim, Haewon Roh, Jong Hyun Kim, Taek Hyun Kwon
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J Trauma Inj. 2017;30(3):98-102. Published online October 30, 2017
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DOI: https://doi.org/10.20408/jti.2017.30.3.98
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 Abstract
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- 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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Summary
- Bilateral Oculomotor Nerve Palsy after Head Trauma: A Case Report
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Hae Won Noh, Jae Young Song, Jong Hyun Kim, Jang Hun Kim
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J Trauma Inj. 2017;30(2):66-69. Published online June 30, 2017
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DOI: https://doi.org/10.20408/jti.2017.30.2.66
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Abstract
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- We introduce a patient who was suffered from isolated traumatic bilateral oculomotor nerve palsy after head trauma. The patient presented with bilateral ptosis and abnormal pupilary responses with slightly drowsy mentality at first. Performed images demonstrated some hematomas along subarachnoid, intraventricular, subdural spaces and multiple small supratentorial contusions. There was no bony abnormality or ligament injury. We assumed that small amount of interpeduncular hematoma might be the proper lesion associated with oculomotor nerve palsies, since the clinical symptom and signs presented bilaterally and the oculomotor neural fascicles run through the interpeduncular fossa.
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