Kelten Bilal, Karaoğlan Alper, Cal Mehmet Alpay, Akdemir Osman, Karancı Türker
Department of Neurosurgery, Maltepe University Faculty of Medicine, İstanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2013 May;19(3):267-70. doi: 10.5505/tjtes.2013.49799.
Intracranial epidural haematomas are almost always secondary to head traumas and usually occur unilaterally. Bilateral intracranial epidural haematomas are rare, but the mortality is very high. In our case, we report a bilateral epidural haematoma in a 32 year old, HIV infected male patient who came to the emergency service with a head trauma because of a motor vehicle-pedestrian accident. The occurrence of bilateral epidural haematoma in an HIV infected patient is a rare condition as a result of head trauma in a lateral direction on one side. As a result of the vasculopathy and coagulopathy, which are complications of HIV infection, the cerebral vessels have a fragile structure that leads to complications that facilitate the development of contralateral intracranial epidural haematoma together.
颅内硬膜外血肿几乎总是继发于头部外伤,通常单侧发生。双侧颅内硬膜外血肿很少见,但死亡率很高。在我们的病例中,我们报告了一名32岁的HIV感染男性患者发生双侧硬膜外血肿,该患者因机动车与行人碰撞事故导致头部外伤前来急诊。HIV感染患者因一侧侧向头部外伤而发生双侧硬膜外血肿是一种罕见情况。由于HIV感染的并发症血管病变和凝血病变,脑血管结构脆弱,导致并发症,共同促进对侧颅内硬膜外血肿的发生。