Operative technic of removal of epidural hematoma of the vertex depressing the superior sagittal sinus

Abstract

An operative technic is depicted utilizing an air craniotome for the removal of an epidural hematoma of the vertex [5]. Salient points which have proved helpful in the management of these hematomas include: 1. 1. The knowledge of their location in sites other than the “classical” site underlying a fracture of the temporal bone. 2. 2. Definitive diagnosis by the late venous phase of the carotid angiogram. 3. 3. The value of the sigmoid incision of the scalp in affording wide bilateral exposure. 4. 4. The rapidity and ease with which these hematomas may be visualized and removed using a compressed air perforator, craniotome, and drill. 5. 5. The value of sewing back the dura to the vertex of the skull and the transient postoperative use of the Snyder Hemovac to obliterate the epidural dead space.