Abstract
Post-traumatic acute epidural and subdural hematoma is a common neurosurgical emergency. Epidural or extradural hematoma is an accumulation of blood between the skull and dura mater, mostly appears asa hyperdense biconvex shape on computed tomography (CT) scan. In our present study, weencountered a case of an eight years old malechild brought to the hospital with head trauma in aroad traffic accident. Initial CT scan revealed an epidural hematoma, which appeared isodense rather than the usual hyperdense presentation. This unusual presentation was due to low hematocrit (HCT). Thisparticular presentation poses a diagnostic dilemma and can compromise patient managementultimately leading to treatment failure. Here, we present a case report about diagnosing and managing an anemic patient with traumatic isodense acute epidural hematoma.
Highlights
Traumatic brain injuries are commonly presented with road traffic accidents causing a subdural or epidural hematoma
We report a case with atypical presentation of isodense acute epidural hematoma which can be a cause of misdiagnosis, leading to medical errors
An 8-year-old male child was admitted to neurotrauma after a road traffic accident with epidural hematoma which appeared isodense on computed tomography (CT) scan brain rather than usual hyperdense presentation
Summary
Isodense Acute Epidural Hematoma in an Anemic Patient – Diagnostic and Therapeutic Trap: A Case Report. Sajid Khan[1], Musawer Khan[2], Naeem-ul-Haq[2], Mumtaz Ali[1], Muhammad Ishaq2 1Department of Neurosurgery, Prime Teaching Hospital, Warsak Road, Peshawar 2Mardan Medical Complex, Mardan, KPK – Pakistan
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