Post traumatic large vertex epidural hematoma without sagittal sinus injury: A case report and review of literature

Abstract

A 23-years-old young male patient was admitted to our hospital following head injury due to road traffic accident. He was unconscious and his Glasgow Coma Scale (GCS) was 7 out of 15. Computed tomography scan of head revealed a large epidural hematoma over bilateral frontal lobes convexity crossing the midline, extending posteriorly over fronto-parietal lobe convexity in the vertex beyond coronal suture and associated with fronto-parietal bone fracture. Emergency operation was done and the hematoma was evacuated. Intra operatively there was no sagittal sinus injury. Post operatively patient became conscious without any neurological deficit. We report our case of head injury with extensive epidural hematoma in bilateral frontal and vertex area without sagittal sinus injury and reviewing the literature.