Post-Traumatic Supra and Infra Tentorial Epidural Hematoma. A Case Report and Review of the Literature
Mod J Med Biol
Background and Importance: Epidural hematoma (EDH) is a rare complication of cranioencephalic trauma. It accounts for 1 to 4% [1,2]. Supra- and infra-tentorial EDH is unusual and accounts for 2-10% of all acute EDH. It is a rare pathology and very few articles have been published on the subject . Infra-tentorial EDH has a natural course of rapid deterioration and sudden death. We report our experience of the management of a supra- and infra-tentorial epidural hematoma, this case will be presented with a review of the literature.
Case Presentation: The patient was admitted to the neurosurgical emergency room for a rapidly progressive alteration of consciousness after a fall. The physical examination revealed a Glasgow score of 8/15, the pupils were of intermediate size and reactive, and the cerebral computed tomography revealed an extradural hematoma above and below the tentorial. The patient benefited from an evacuation of the hematoma and the postoperative course was simple.
Conclusion: Supra- and infra-tentorial epidural hematoma is an emergency in neurosurgery. This location is rare and has no specific clinical signs. Treatment consists of emergency evacuation of the haematoma
Keywords: Epidural Hematoma; Supra and Extra Tentorial; Cranioencephalic Trauma