Division of Neurosurgery, Department of Surgery, Brawijaya University, Saiful Anwar Hospital, Malang, Indonesia.
Department of Surgery, Brawijaya University, Malang, Indonesia.
Pan Afr Med J. 2022 Mar 1;41:169. doi: 10.11604/pamj.2022.41.169.31986. eCollection 2022.
Epidural hematoma (EDH) is defined as a traumatic accretion of blood separating the dural membrane and the internal table of the skull that caused from contact bending or skull fracture. The cases of contrecoup EDH are as not common, and there are just 10 recorded cases on this. As a result of its uncommonness, we disclose one subject of a 33-year-old man having countrecoup EDH who suffered from a head trauma caused by falling from 4 meters high. The main symptoms were decreasing consciousness and vomiting. Clinical findings showed a Glasgow Coma Scale score of 9, laceration in the left parietal region with stable hemodynamic. Head Computed tomography showed a large EDH in the right frontal and temporal region with coronal suture diastasis. The patient immediately underwent surgery, and craniotomy with evacuation of extradural hematoma were performed. This case presents that a force, which creates an angle, can propagates and causes opposite coronal suture diastasis and makes contrecoup EDH.
硬膜外血肿（EDH）定义为外伤性血液积聚，将硬脑膜与颅骨内板分隔开来，这种血肿是由接触弯曲或颅骨骨折引起的。对冲性 EDH 并不常见，仅有 10 例记录在此。由于其罕见性，我们披露了一位 33 岁男性的病例，他因从 4 米高处坠落而遭受头部外伤。主要症状为意识下降和呕吐。临床检查显示格拉斯哥昏迷评分 9 分，左顶区有裂伤，血流动力学稳定。头部计算机断层扫描显示右侧额颞部有大面积 EDH，冠状缝分离。患者立即接受手术，行开颅术并清除硬膜外血肿。本例表明，一个产生角度的力可以传播并导致对侧冠状缝分离，从而导致对冲性 EDH。
