Posttraumatic synchronous double acute epidural hematomas: Two craniotomies, single skin incision

Nicola Montemurro; Giorgio Santoro; Walter Marani; Giandomenico Petrella

doi:10.25259/SNI_697_2020

Posttraumatic synchronous double acute epidural hematomas: Two craniotomies, single skin incision

Surg Neurol Int. 2020 Dec 11:11:435. doi: 10.25259/SNI_697_2020. eCollection 2020.

Authors

Nicola Montemurro¹, Giorgio Santoro², Walter Marani³, Giandomenico Petrella³

Affiliations

¹ Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, Pisa.
² Department of Human Neurosciences, Neurosurgery, UOD Emergency Orthopaedic Traumatology, Sapienza University of Rome, Piazzale Aldo Moro, Roma.
³ Department of Neurosurgery, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.

Abstract

Background: Double epidural hematomas (EDHs) have a higher mortality rate compared to single EDHs and same Glasgow Coma Scale (GCS), although double EDHs incidence is less common.

Case description: We present the case of a 34-year-old female who underwent single skin incision and frontotemporal and suboccipital craniotomies for fatal traumatic double acute EDHs, then, a literature review was performed.

Conclusion: Double EDHs in association with low GCS at presentation and traumatic diastasis of cranial sutures or other maxillofacial injuries are associated to an unfavorable outcome.

Keywords: Epidural hematoma; Neurotrauma; Traumatic brain injury.

Publication types

Case Reports