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J Trauma Inj > Volume 30(3); 2017 > Article
Journal of Trauma and Injury 2017;30(3):98-102.
DOI: https://doi.org/10.20408/jti.2017.30.3.98    Published online October 30, 2017.
A Successful Evacuation of Vertex Epidural Hematoma; A Case Report
Jang Hun Kim, Haewon Roh, Jong Hyun Kim, Taek Hyun Kwon
Department of Neurosurgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea. jhkimns@naver.com
Received: 10 May 2017   • Revised: 3 July 2017   • Accepted: 4 July 2017
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.
Key Words: Vertex; Epidural hematoma; Extra-axial hematoma


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