Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review

WANI, Abrar; NAYIL, Khursheed; DHAR, Anil; RAMZAN, Altaf; LAHARWAL, Masood; ARIF, Sajad

Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review

Khursheed NAYIL, (Sher-i-Kashmir Institute of Medical Sciences, Department of Neurosurgery, Kashmir, India)

Masood LAHARWAL, (Sher-i-Kashmir Institute of Medical Sciences, Department of Neurosurgery, Kashmir, India)

Anil DHAR, (Sher-i-Kashmir Institute of Medical Sciences, Department of Neurosurgery, Kashmir, India)

Abrar WANI, (Sher-i-Kashmir Institute of Medical Sciences, Department of Neurosurgery, Kashmir, India)

Altaf RAMZAN, (Sher-i-Kashmir Institute of Medical Sciences, Department of Neurosurgery, Kashmir, India)

Sajad ARIF (Sher-i-Kashmir Institute of Medical Sciences, Department of Neurosurgery, Kashmir, India)

Turkish Neurosurgery

5 0

Yıl: 2012 Cilt: 22 Sayı: 2 Sayfa Aralığı: 257 - 260 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review

Öz:

Vertekse yerleşmiş epidural hematomlar nadir görülürler ve tüm epidural hematomlar içinde küçük bir yüzde olarak bulunur. Bu hematomlara süperior sagital sinüsteki bir yırtık yol açar. Bu hematomların spesifik klinik bulguları olmadığından kafa içindeki yerini belirlemek çoğunlukla mümkün olmaz. Yaya halde iken motorsiklet tarafından çarpılan hastaya serebral kontüzyon tanısı konulmuş ve taburcu edildi, hasta tekrar hastaneye kafa içi basınç artışı bulguları ile getirildi ancak çekilen beyin bilgisayarlı tomografisinde patoloji yok denilerek hasta tekrar taburcu edildi. Hasta bir hafta sonra bu kez iki taraflı abdusent paralizisi ile hastaneye müracat etti ve yapılan kranial manyetik rezonans görüntülemesinde vertekste epidural hematom saptanan hasta ameliyat edildi. Vertekse yerleşmiş epidural hematomlar bilgisayarlı tomografide artefakt olarak değerlendirilerek kolayaca atlanabilir; bunun yanı sıra bu patoloji oldukça nadir görülür ve tanındığı zaman gerekli tedavi ile hastaların prognozu mükemmele yakındır. Kafa travması ile gelen hastaların özellikle vertikal bölgesi bilgisayarlı tomografi ile iyi taranmalı, şüphe durumunda koronal kesitler alınmalı, yine şüphe varsa hastalara kranial manyetik rezonans görüntülemesi yapılmalıdır.

Anahtar Kelime:

Konular: Cerrahi

Bilateral abdusent sinir paralizisi ile birlikte görülen vertekse yerleşmiş epidural hematom: Olgu sunumu ve literatürün gözden geçirilmesi

Öz:

Epidural hematomas which are located at the vertex are rarely seen and form a small percentage of total epidural hematomas. Tearing in the superior sagittal sinus is the usual cause of an epidural hematoma located in the vertex. The clinical features of this entity are non-specific; hence, localization of the lesion is difficult. We report an adult who was hit by a motorcycle and was initially discharged from the hospital as a case of concussional head injury. He returned back with raised intracranial pressure symptoms, so a CT scan was done but was misinterpreted, and he reported one week later with bilateral abducent nerve palsy. Magnetic resonance imaging confirmed vertex EDH for which he was operated.These hematomas are seen rarely and can be interpreted as an artifact. Its recognition is important because it has an excellent prognosis. We concluded that all head injury patients should get high axial cuts on the CT scan, and any degree of suspicion should prompt a neurosurgeon to investigate further with coronal CT scan or MRI.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	NAYIL K, LAHARWAL M, DHAR A, WANI A, RAMZAN A, ARIF S (2012). Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. , 257 - 260.
Chicago	NAYIL Khursheed,LAHARWAL Masood,DHAR Anil,WANI Abrar,RAMZAN Altaf,ARIF Sajad Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. (2012): 257 - 260.
MLA	NAYIL Khursheed,LAHARWAL Masood,DHAR Anil,WANI Abrar,RAMZAN Altaf,ARIF Sajad Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. , 2012, ss.257 - 260.
AMA	NAYIL K,LAHARWAL M,DHAR A,WANI A,RAMZAN A,ARIF S Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. . 2012; 257 - 260.
Vancouver	NAYIL K,LAHARWAL M,DHAR A,WANI A,RAMZAN A,ARIF S Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. . 2012; 257 - 260.
IEEE	NAYIL K,LAHARWAL M,DHAR A,WANI A,RAMZAN A,ARIF S "Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review." , ss.257 - 260, 2012.
ISNAD	NAYIL, Khursheed vd. "Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review". (2012), 257-260.

APA	NAYIL K, LAHARWAL M, DHAR A, WANI A, RAMZAN A, ARIF S (2012). Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. Turkish Neurosurgery, 22(2), 257 - 260.
Chicago	NAYIL Khursheed,LAHARWAL Masood,DHAR Anil,WANI Abrar,RAMZAN Altaf,ARIF Sajad Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. Turkish Neurosurgery 22, no.2 (2012): 257 - 260.
MLA	NAYIL Khursheed,LAHARWAL Masood,DHAR Anil,WANI Abrar,RAMZAN Altaf,ARIF Sajad Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. Turkish Neurosurgery, vol.22, no.2, 2012, ss.257 - 260.
AMA	NAYIL K,LAHARWAL M,DHAR A,WANI A,RAMZAN A,ARIF S Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. Turkish Neurosurgery. 2012; 22(2): 257 - 260.
Vancouver	NAYIL K,LAHARWAL M,DHAR A,WANI A,RAMZAN A,ARIF S Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review. Turkish Neurosurgery. 2012; 22(2): 257 - 260.
IEEE	NAYIL K,LAHARWAL M,DHAR A,WANI A,RAMZAN A,ARIF S "Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review." Turkish Neurosurgery, 22, ss.257 - 260, 2012.
ISNAD	NAYIL, Khursheed vd. "Vertex epidural hematoma with bilateral abducent nerve palsy: Case report and literature review". Turkish Neurosurgery 22/2 (2012), 257-260.