AI Article Synopsis
- Vertex epidural hematomas (VEH) are rare, making up only 8% of epidural hematomas, and may be missed on CT scans due to the vertex being a potential "blind spot."
- A case is presented where a patient with head trauma experienced worsening headaches, and MRI successfully diagnosed progressive VEH and identified a detachment of the superior sagittal sinus.
- The conclusion emphasizes the importance of thoroughly reviewing CT scans for patients with severe headaches after trauma and considering MRI for better diagnosis when CT results are inconclusive.
Article Abstract
Background: Vertex epidural hematomas (VEH) account for only 8% of all epidural hematomas. However, these traumatic injuries may be underestimated or overlooked altogether when only computed tomography (CT) scans are used for diagnosis. The vertex may be a potential anatomic "blind spot" on this radiological method. In such cases, magnetic resonance (MRI) offers a great diagnostic aid.
Case Description: This manuscript reports a patient of a head trauma who developed progressive and intractable headache. MRI made the diagnosis of progressive VEH and highlighted the detachment of the superior sagittal sinus by the hematoma. Surgical treatment, because of the refractory clinical findings, was performed with good postoperative recovery.
Conclusion: Multiple trauma patients with progressive and refractory headache should have their head CT thoroughly reviewed and, if necessary, be investigated with MRI.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866058 | PMC |
| http://dx.doi.org/10.4103/2152-7806.181982 | DOI Listing |
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