title: Premonitory neurologic signs in a patient with an acute vertex epidural hematoma.
abstract: A case of an acute vertex epidural hematoma with delayed neurologic deterioration is presented. Prior to the onset of signs of midbrain compression, the patient developed an excrutiating headache, a movement disorder, and upper motor neuron signs. A review of the literature and this case suggest that the presence of a severe, unrelenting headache and upper motor neuron signs in a victim of head trauma may be secondary to compression of the parasagittal brain region by a vertex hematoma.
mesh_terms: D000328:Adult; D004630:Emergencies; D006261:Headache / Q000209:etiology; D006407:Hematoma, Epidural, Cranial / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009046:Motor Neurons; D009468:Neuromuscular Diseases / Q000175:diagnosis / Q000209:etiology