Griffiths S J, Jatavallabhula N S, Mitchell R D
Department of Neurosurgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Br J Neurosurg. 2002 Apr;16(2):188-91. doi: 10.1080/026886902317384553.
A 17-year-old male with occult cleft palate presented with depressed-consciousness due to spontaneous frontal extradural haematoma associated with sinusitis. Craniotomy, evacuation of the haematoma and drainage of the frontal sinuses led to a full recovery. Spontaneous extradural haematomas secondary to craniofacial infections are very rare; this appears to be the first described with a coexisting congenital palatal abnormality. The diagnosis should be considered when signs of infection are present with depressed consciousness as a delay in treatment may result in death.
