Paiva Wellingson Silva, Andrade Almir Ferreira De, Alves Aderaldo Costa Junior, Ribeiro Iuri Neville, Teixeira Manoel Jacobsen
Faculty, Division of Neurosurgery - University of Sao Paulo Medical School , Brazil .
Faculty, Division of Neurosurgery - University of Sao Paulo Medical School, Brazil.
J Clin Diagn Res. 2013 Nov;7(11):2594-5. doi: 10.7860/JCDR/2013/5709.3609. Epub 2013 Nov 10.
Epidural haematomas are one of the most common complicated closed-head injuries, but they, rarely show any bilateral localization. We are reporting here a case of a man found unconscious with Glasgow Coma Scale score; 8/15. Computed tomography of skull revealed bilateral epidural hematoma. Two emergency craniotomies were performed simultaneously, with satisfactory radiological control and neurological outcome. We discussed the aspects of a etiology and treatment about this unusual condition.
硬膜外血肿是最常见的闭合性颅脑损伤并发症之一,但很少表现为双侧性。我们在此报告一例患者,该男子被发现昏迷,格拉斯哥昏迷量表评分为8/15。头颅计算机断层扫描显示双侧硬膜外血肿。同时进行了两次紧急开颅手术,放射学控制和神经功能恢复情况均令人满意。我们讨论了这种罕见情况的病因及治疗方面的问题。