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Child's Nervous System
Published in: Child's Nervous System 1/2017

01-01-2017 | Case Report

Spontaneous evacuation of hyperacute extradural hematoma: two illustrative case reports

Authors: Mahesh Krishna Pillai, Rajeev Kariyattil, Venkatesh Govindaraju, Koshy Kochummen

Published in: Child's Nervous System | Issue 1/2017

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Abstract

Spontaneous drainage of extradural hematoma (EDH) through a skull fracture is rare, with only 14 cases reported to date. Five of these belong to pediatric age group. The authors report two cases of spontaneous evacuation of acute EDH, in children, with two differing types of skull fractures, one being an elevated fracture. The context, in which the terminologies of “spontaneous evacuation” and “spontaneous resolution” to be used, is clarified.
Literature
1.
Deniz FE, Türk CC, Ismailoğlu O, Bozkurt G, Ozcan OE (2010) Rapid spontaneous resolution of epidural hematoma: a case report. Ulus Travma Acil Cerrahi Derg 16:280–282PubMed
2.
Kumar J, Prakash A, Harsh V, Kumar A (2016) Elevated fracture of skull in pediatric age group: a series of five patients with review of literature. Asian J Neurosurg 11:75PubMedPubMedCentral
3.
Adeolu AA, Shokunbi MT, Malomo AO, Komolafe EO, Olateju SO, Amusa YB (2006) Compound elevated skull fracture: a forgotten type of skull fracture. Surg Neurol 65:503–505CrossRefPubMed
4.
Borkar SA, Prasad GL, Gupta DK, Sinha S, Mahapatra AK (2013) Compound elevated skull fracture: a clinical series of three patients with a review of the literature. Turk Neurosurg 23:514–517PubMed
5.
Agrawal A, Kumar SS, Reddy UV, Hegde KV, Subrahmanyan BV (2015) Compound elevated skull fracture: should we incorporate in skull fracture classification? Int J Crit Illn Inj Sci 5:227–229CrossRefPubMedPubMedCentral
6.
Sharma R, Saligouda P, Bhat DI, Devi BI (2012) Compound elevated skull fracture mimicking a frontotemporoorbitozygomatic craniotomy flap. Neurol India 60:448–449CrossRefPubMed
7.
Mohindra S, Singh H, Savardekar A (2012) Importance of an intact dura in management of compound elevated fractures: a short series and literature review. Brain Inj 26:194–198CrossRefPubMed
8.
Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, Servadei F, Walters BC, Wilberger JE, Group SMoTBIA (2006) Surgical management of acute epidural hematomas. Neurosurgery 58:S7–15 discussion Si-ivPubMed
9.
Bejjani GK, Donahue DJ, Rusin J, Broemeling LD (1996) Radiological and clinical criteria for the management of epidural hematomas in children. Pediatr Neurosurg 25:302–308CrossRefPubMed
10.
Flaherty BF, Loya J, Alexander MD, Pandit R, Ha BY, Torres RA, Schroeder AR (2013) Utility of clinical and radiographic findings in the management of traumatic epidural hematoma. Pediatr Neurosurg 49:208–214CrossRefPubMed
11.
Pang D, Horton JA, Herron JM, Wilberger JE, Vries JK (1983) Nonsurgical management of extradural hematomas in children. J Neurosurg 59:958–971CrossRefPubMed
12.
Balmer B, Boltshauser E, Altermatt S, Gobet R (2006) Conservative management of significant epidural haematomas in children. Childs Nerv Syst 22:363–367CrossRefPubMed
13.
Maggi G, Aliberti F, Petrone G, Ruggiero C (1998) Extradural hematomas in children. J Neurosurg Sci 42:95–99PubMed
14.
Gerlach R, Dittrich S, Schneider W, Ackermann H, Seifert V, Kieslich M (2009) Traumatic epidural hematomas in children and adolescents: outcome analysis in 39 consecutive unselected cases. Pediatr Emerg Care 25:164–169CrossRefPubMed
15.
Neely JC, Jones BV, Crone KR (2008) Spontaneous extracranial decompression of epidural hematoma. Pediatr Radiol 38:316–318CrossRefPubMed
16.
Aoki N (1988) Rapid resolution of acute epidural hematoma. Report of two cases. J Neurosurg 68:149–151CrossRefPubMed
17.
Dolgun H, Türkoğlu E, Kertmen H, Yılmaz ER, Ergun BR, Sekerci Z (2011) Rapid resolution of acute epidural hematoma: case report and review of the literature. Ulus Travma Acil Cerrahi Derg 17:283–285CrossRefPubMed
18.
Eom KS, Park JT, Kim TY, Kim JM (2009) Rapid spontaneous redistribution of acute epidural hematoma : case report and literature review. J Korean Neurosurg Soc 45:96–98CrossRefPubMedPubMedCentral
19.
Kang SH, Chung YG, Lee HK (2005) Rapid disappearance of acute posterior fossa epidural hematoma. Neurol Med Chir (Tokyo) 45:462–463CrossRef
20.
Malek AM, Barnett FH, Schwartz MS, RM S (1997) Spontaneous rapid resolution of an epidural hematoma associated with an overlying skull fracture and subgaleal hematoma in a 17-month-old child. Pediatr Neurosurg 26:160–165CrossRefPubMed
21.
Servadei F, Staffa G, Pozzati E, Piazza G (1989) Rapid spontaneous disappearance of an acute extradural hematoma: case report. J Trauma 29:880–882CrossRefPubMed
22.
Ugarriza LF, Cabezudo JM, Fernandez-Portales I (1999) Rapid spontaneous resolution of an acute extradural haematoma: case report. Br J Neurosurg 13:604–605CrossRefPubMed
23.
Kuroiwa T, Tanabe H, Takatsuka H, Arai M, Sakai N, Nagasawa S, Ohta T (1993) Rapid spontaneous resolution of acute extradural and subdural hematomas. Case report. J Neurosurg 78:126–128CrossRefPubMed
24.
Bhat AR, Raswan US, Kirmani AR (2015) Intracranial extradural hematoma: spontaneous rapid decompression—not resolution. J Pediatr Neurosci 10:266–269CrossRefPubMedPubMedCentral
25.
Wagner A, Freudenstein D, Friese S, Duffner F (2002) Possible mechanisms for rapid spontaneous resolution of acute epidural hematomas. Klin Neuroradiol:45–50
26.
Borkar SA, Sinha S, Sharma BS (2009) Post-traumatic compound elevated fracture of skull simulating a formal craniotomy. Turk Neurosurg 19:103–105PubMed
27.
Illingworth R, Shawdon H (1983) Conservative management of intracranial extradural haematoma presenting late. J Neurol Neurosurg Psychiatry 46:558–560CrossRefPubMedPubMedCentral
28.
Weaver D, Pobereskin L, Jane JA (1981) Spontaneous resolution of epidural hematomas. Report of two cases. J Neurosurg 54:248–251CrossRefPubMed
Metadata
Title
Spontaneous evacuation of hyperacute extradural hematoma: two illustrative case reports
Authors
Mahesh Krishna Pillai
Rajeev Kariyattil
Venkatesh Govindaraju
Koshy Kochummen
Publication date
01-01-2017
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 1/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3197-9

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