Bilateral epidural hematom: olgu sunumu

Year 2017, , 207 - 209, 13.12.2017

Muhammed Taha Eser Erdal Reşit Yılmaz Hüseyin Hayri Kertmen , Mehmet Ziya Çetiner

https://doi.org/10.21601/ortadogutipdergisi.278104

Abstract

Bilateral
epidural hematom nadir görülen bir durumdur. Genelde kafa travmalarını takiben
oluşmaktadır. Nadir görülmesine rağmen mortalitesi yüksektir. 5 yaşında erkek
hasta yüksekten düşme şikâyeti ile başvurdu. Tetkiklerinde bilateral epidural
hematom saptanması üzerine acil şartlarda opere edildi. Cerrahi sonrası klinik
durumu tamamen düzelerek taburcu edildi. Bilateral epidural hematom nadir
görülmesine rağmen müdahale edilmesi gereken acil bir durumdur. Lezyonun yerine
göre eş zamanlı bilateral kraniotomi ile cerrahi yapılması uygundur.

Keywords

Kafa travması, bilateral epidural hematom, cerrahi tedavi

Bilateral epidural hematoma: a case report

Abstract

Acute
bilateral hematomas have higher mortality rates than unilateral epidural
hematomas. They are rare presentation of traumatic head injury. The autors
described the case of 5 years old male presenting trauatic head injury, Glascow
Coma Scale of 15, isocoric pupils. Computed tomography showed bilateral frontal
epidural hematomas, obliteration of the lateral ventricles frontal horn and
sulci, a bilateral skull fracture reaching the vertex. Bilateral simultaneous
drainage was made at the surgery. Patient was discharged with no neurological
deficit. The correct approach on bilateral epidural hematomas depends on the
volume, diagnosis time and neurological status. Immediately simultaneous
drainage of bilateral hematomas has been shown to be an effective method for
it.

Keywords

Head injury, bilateral epidural hematoma, surgical treatment

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