Multiple Epidural Hematomas: Systematic Lıterature Review and an Unusual Case Presentation

Year 2018, Volume: 7 Issue: 3, 55 - 60, 01.09.2018

Güner Menekşe Yurdal Gezercan Ali İhsan Ökten

https://doi.org/10.5505/abantmedj.2018.95825

Abstract

INTRODUCTION: The aim of this study was to review and discuss the clinical properties of multiple epidural hematomas in light of the literature. METHODS: In this study, we pooled cases with multipl epidural hematomas that were published in the medical literature and added an unpublished case from our institution. RESULTS: Fifty published articles which are providing our criteria was found in our literature review. While thirty-eight of them were single case reports, twelwe were multipl cases and clinical series. Most of cases have bilateral hematomas. More than two epidural hematomas were found in only 7 cases. Except two cases, surgical treatment was used in all patients. DISCUSSION AND CONCLUSION: Intracranial epidural hematomas are generally secondary to head traumas and occur unilaterally. Multiple epidural hematomas are very rare condition and prognosis is mainly dependent of the preoperative neurological state.

Keywords

bilateral, epidural hematoma, extradural hematoma, multiple

Çoklu Epidural Hematomlar: Sistematik Literatür Taraması ve Nadir Bir Olgu Sunumu

Abstract

GİRİŞ ve AMAÇ: Bu çalışmanın amacı literatür ışığı altında çoklu epidural hematomların ve klinik özelliklerinin gözden geçirilmesi ve tartışılmasıdır. YÖNTEM ve GEREÇLER: Bu çalışmada tıbbi literatürde yayınlanan çoklu epidural hematom olguları toplandı ve kliniğimizden yayınlanmamış bir olgu eklendi. BULGULAR: Yaptığımız literatür taramasında arama kriterlerimizi sağlayan 50 adet makale bulundu. Bunların 38 tanesi tekli olgu sunumları iken, 12 makale çoklu olgu sunumları ve klinik serilerden oluşmaktaydı. Olguların büyük çoğunluğunda bilateral epidural hematom saptandı. Sadece 7 olguda ikiden fazla epidural hematom tespit edildi. İki olgu dışında tüm olgularda cerrahi tedavinin uygulandığı görüldü. TARTIŞMA ve SONUÇ: İntrakraniyal epidural hematomlar genellikle kafa travmasına sekonder gelişirler ve tek taraflı oluşurlar. Çokluepidural hematomlar oldukça nadir olgulardır ve prognozları genellikle operasyon öncesi nörolojik durum ile bağlantılıdır.

Keywords

bilateral, çoklu, epidural hematom, ektradural hematom

References

• Pandey S, Sharma V, Shinde N, Sharma M. Bilateral occipital extradural hematoma in a child.J Pediatr Neurosci. 2015;10:270-2.
• Udoh DO. Bilateral post-traumatic acute extradural hematomas: a report of four cases and review of literature. Niger J Clin Pract. 2012;15:104-7.
• Çaylı SR, Beşkonaklı E, Okay Ö, Bostancı U, Taşkın Y. Travmatik epidural hematomlar: Mortaliteyi etkileyen faktörlerin analiziy. Ulus travma acil cerrahi derg. 1997;3:308-13.
• Agbi CB, Victoratos G, Turnbull IW. Bilateral extradural hematoma extending from the foramen magnum to the vertex. Surg Neurol. 1987;28:123-8.
• Feuerman T, Wackym PA, Gade GF, Lanman T, Becker D. Intraoperative development of contralateral epidural hematoma during evacuation of traumatic extraaxial hematoma. Neurosurgery. 1988;23:480-4.
• Grabel JC, Sacher M, Rothman AS. Bilateral extradural hematomas in a thrombocytopenic infant receiving anticoagulants: case report. Neurosurgery. 1989;25:828- 30.
• Kalia KK, Swift DM, Pang D. Multiple epidural hematomas following ventriculoperitoneal shunt. Pediatr Neurosurg. 1993;19:78-80.
• Kelten B, Karaoğlan A, Çal MA, Akdemir O, Karancı T. Human immunodeficiency virüs ile enfekte bir hastada gelişen iki taraflı epidural hematom: Olgu sunumu. Ulus Travma Acil Cerrahi Derg. 2013;19:267-70.
• Kuwayama N, Sugita K, Sonobe M, Takahashi S. Spontaneous bilateral extradural hematomas: a case report. No Shinkei Geka. 1984;12:1535-8.
• Kuwayama N, Takahashi S, Sonobe M, Sugita K. Spontaneous bilateral extradural hematomas. Case report. J Neurosurg. 1985;62:139-41.
• Lieu AS, Sun ZM, Howng SL. Bilateral epidural hematoma in a neonate. Kaohsiung J Med Sci. 1996l;12:434-6.
• Louzada PR, Requejo PR, Barroso MV, Vaitsman RP, Machado AL, Paiva MS, Salame JM. Bilateral extradural haematoma after acute ventricular over-drainage. Brain Inj. 2012;26:95-100.
• MacCarty CS, Hornıng ED, Weaver EN. Bilateral extradural hematoma; report of case. J Neurosurg. 1948;5:88-90.
• Mishra SS, Senapati SB, Deo RC. Traumatic bilateral frontal extradural hematomas with coronal suture diastases. Neurol India. 2011;59:940-2.
• Ortega-Martínez M, Fernández-Portales I, Gómez Perals LF, Cabezudo JM. Contralateral extradural hematoma during evacuation of a previous one. Neurocirugia (Astur). 2004;15:468-71; discussion 471.
• Pozzati E, Poppi M, Gaist G. Acute bilateral extradural hematomas in a case of osteogenesis imperfecta congenita. Neurosurgery. 1983;13:66-8.
• Roth J, Galeano E, Milla S, Hartmannsgruber MW, Weiner HL. Multiple epidural hematomas and hemodynamic collapse caused by a subgaleal drain and suction-induced intracranial hypotension: case report. Neurosurgery. 2011;68:E271-5; discussion E276.
• Patra SK, Mishra SS, Das S. A rare case of spontaneous bilateral extradural hematoma in a sickle cell disease child. J Pediatr Neurosci. 2012;7:77-8.
• Welling LC, Guirado V, Sette dos Santos ME, de Aguiar GB, Figueiredo EG. Multiple epidural haematomas after meningioma surgery. Br J Neurosurg. 2011;25:138-9.
• Wolfsberger S, Gruber A, Czech T. Multiple supratentorial epidural haematomas after posterior fossa surgery. Neurosurg Rev. 2004;27:128-32.
• Arienta C, Baiguini M, Granata G, Villani R. Acute bilateral epidural hematomas. Report of two cases and review of the literature. J Neurosurg Sci. 1986 ;30:139-42.
• Balasubramaniam V, Ramesh VG. A case of coup and contrecoup extradural hematoma. Surg Neurol. 1991;36:462-4.
• Bret P, Garin C, Massini B, Bascoulergue Y, Huppert J. Bilateral extradural haematoma. Report of two cases. Neurochirurgia (Stuttg). 1987;30:193-6.
• Barlow P, Kohi YM. Acute simultaneous bilateral extradural hematoma. Surg Neurol. 1985;23:411-3.
• Eftekhar B, Ketabchi E, Ghodsi M, Esmaeeli B. Bilateral asynchronous acute epidural hematoma : a case report. BMC Emerg Med. 2003;3:1.
• Connor SE, Chandler C, Jarosz JM. Traumatic sequential bilateral extradural haematomas in a child. Acta Neurochir (Wien). 2002;144:107-8.
• d'Avella D, De Blasi F, Frattarelli M, Santoro G, del Vivo RE. Acute bilateral extradural haematomas in an adult. Neurochirurgia (Stuttg). 1985;28:178-9.
• Dharker SR, Bhargava N. Bilateral epidural haematoma. Acta Neurochir (Wien). 1991;110:29-32.
• Frank E, Berger TS, Tew JM Jr. Bilateral epidural hematomas. Surg Neurol. 1982;17:218-22.
• Gelabert-González M, Iglesias-País M, Serramito-García R, Fernández-Villa J, García-Allut A, Martínez-Rumbo R. Simultaneous Neurocirugia (Astur). 2005;16:256-60. epidural haematomas.
• Gelabert M, Prieto A, Allut AG. Acute bilateral extradural haematoma of the posterior cranial fossa. Br J Neurosurg. 1997;11:573-5.
• Gelabert M, Prieto A, Rumbo RM, Bollar A, Allut AG. Simultaneous bilateral extradural haematoma. Br J Neurosurg. 1993;7:95-7.
• Görgülü A, Cobanoglu S, Armagan S, Karabagli H, Tevrüz M. Bilateral epidural hematoma. Neurosurg Rev. 2000;23:30-3.
• Gupta SK, Tandon SC, Mohanty S, Asthana S, Sharma S. Bilateral traumatic extradural haematomas: report of 12 cases with a review of the literature. Clin Neurol Neurosurg. 1992;94:127-31.
• Huda MF, Mohanty S, Sharma V, Tiwari Y, Choudhary A, Singh VP. Double extradural hematoma: an analysis of 46 cases. Neurol India. 2004;52:450-2.
• Idei M, Shima T, Nishida M, Yamane K, Mihara C, Hatayama T, Onda H, Manabe K, Yokota A. Symmetrical bilateral epidural hematoma after head injury in the mid parietooccipital region: case report. No Shinkei Geka. 2004;32:379-82.
• Kett-White R, Martin JL. Bilateral frontal extradural haematomas caused by rupture of the superior sagittal sinus: case report. Br J Neurosurg. 1999;13:77-8.
• Koga H, Mori K, Kurihara M, Sakai S. Traumatic bilateral epidural hematomas presenting at different times in a patient with large ventricles. Surg Neurol. 1985;24:272-4.
• Koulouris S, Rizzoli HV. Acute bilateral extradural hematoma: case report. Neurosurgery. 1980;7:608-10.
• Maurer JJ, Mayfield FH. Acute bilateral extradural hematomas. A case report. J Neurosurg. 1965;23:63.
• Maxwell R, Newcombe RL. Bilateral extradural haematomas in a horse-rider who wore an unfastened helmet. Med J Aust. 1987;147:623.
• Mishra A, Mohanty S. Contre-coup extradural haematoma : a short report. Neurol India. 2001;49:94-5.
• Perera S, Keogh AJ. Chronic simultaneous bilateral extradural haematomas. Br J Neurosurg. 1995;9:533-5.
• Ramzan A, Wani A, Malik AH, Kirmani A, Wani MA. Acute bilateral 2002;50:217-9. Neurol India.
• Burbridge B. Asynchronous bilateral epidural hematomas. Can Assoc Radiol J. 1993;44:390-2.
• Rasmussen GL, Holme S. Bilateral epidural hematomas. Ugeskr Laeger. 1992;154:203-4.
• Reale F, Biancotti R. Acute bilateral epidural hematoma. Surg Neurol. 1985;24:260-2.
• Robertson JH, Clark WC, Acker JD. Bilateral occipital epidural hematomas. Surg Neurol. 1982;17:468-72.
• Rochat P, Johannesen HH, Poulsgård L, Bİgeskov L. Sequentially evolved bilateral epidural haematomas. Clin Neurol Neurosurg. 2002;105:39-41.
• Servadei F, Staffa G, Morichetti A, Burzi M, Piazza G. Asymptomatic acute bilateral epidural hematoma: results of broader indications for computed tomographic scanning of patients with minor head injuries. Neurosurgery. 1988;23:41-3.
• Soni SR. Bilateral asymmetrical extradural hematomas. Case report. J Neurosurg. 1973;38:647-9.
• Subrahmanian MV, Rajendraprasad GB, Rao BD. Bilateral extradural haematomas. Br J Surg. 1975;62:397-400.
• Paiva WS, Andrade AF, Alves AC, Ribeiro IN, Teixeira MJ. Bilateral acute epidural hematoma with good outcome. J Clin Diagn Res. 2013;7:2594-5.
• Agrawal A. Bilateral symmetrical parietal extradural hematoma. J Surg Tech Case Rep. 2011;3:34-6.
• Bezircioğlu H, Erşahin Y, Demirçivi F, Yurt I, Dönertaş K, Tektaş S. Nonoperative treatment of acute extradural hematomas: analysis of 80 cases. J Trauma. 1996;41:696- 8.
• Ceylan S, Kuzeyli K, İlbay K, Aktürk F. Akut epidural hematomların non-operatif tedavisi. Türk Nöroşirürji Dergisi. 1993;3:21-4.
• Hamilton M, Wallace C. Nonoperative management of acute epidural hematoma diagnosed by CT: the neuroradiologist's role. AJNR Am J Neuroradiol. 1992;13:853-9; discussion 860-2.
• Bullock R, Smith RM, van Dellen JR. Nonoperative management of extradural hematoma. Neurosurgery. 1985;16:602-6.
• Jamous MA, Abdel Aziz H, Al Kaisy F, Eloqayli H, Azab M, Al-Jarrah M. Conservative management of acute epidural hematoma in a pediatric age group. Pediatr Neurosurg. 2009;45:181-4.