Chronic extradural haematoma with delayed expansion.
A 35-year-old man became symptomatic 26 months after a head injury. CT showed an occipital-suboccipital chronic extradural haematoma (EDH). A surrounding membrane, with neovascularisation, was evident, both, on CT and at surgery. This unusually long interval between trauma and onset of symptoms suggests that delayed expansion of a chronic EDH should be kept in mind if planning conservative management. An EDH can be considered 'cured' only after disappearance of the membrane and haematoma on CT.
Manjunath-Prasad
K S
KS
Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Gupta
S K
SK
Khosla
V K
VK
D000328:Adult; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D002908:Chronic Disease; D016489:Head Injuries, Closed / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed