Asian Pacific Journal of Health Sciences

Yazarlar: S. Tamijeselvan

Konular:-

DOI:10.21276/apjhs.2017.4.4.30

Anahtar Kelimeler:Computed tomography,Extradural hematoma,Head injury,Magnetic resonance imaging,Radiographical features

Özet: Background: The extradural hematoma is the most important expanding lesion due to head injury with high indexes of mortality and morbidity when the correct management is not done. Frontal extradural hematoma (FEH) is considered rare, representing about 10% of the whole extradural hematoma. They are usually unilateral and may present with subacute and chronic evolution in 40% of the cases. Objective: The aim is to study fifteen cases of FEH and analyze the causes, clinical findings, and radiographic appearance. Materials and Methods: A totsl of 15 patients were studied retrospectively, FEH from the picture archiving and communication system of computed tomography (CT) scanner and magnetic resonance imaging (MRI). 12 cases were male and three female. The age ranged from 10 to 32 years, with a mean of 18 years. Results: The main causes were traffic accidents and falls. In two cases, the hematoma was bilateral. Acute collection occurred in 9 cases, subacute in 3, and chronic in 3. The most important clinical findings were headaches, vomiting, and seizures. Skull X-rays detected fracture in 9 cases, and CT was positive in demonstrating the hematoma. Conclusions: (1) The FEH is more frequent in young adults, (2) its evolution is slow, usually subacute or chronic, in majority of the cases, (3) the clinical findings of the FEH course with few neurological symptoms during its evolution, and (4) the FEH appears hyperdense in CT images and hypo- to hyper-dense in MRI.

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