An analysis of frontal extradural hematoma and its radiographic features

Authors

  • S. Tamijeselvan Mother Theresa Post Graduate and Research Institute of Health Sciences, Puducherry, India.

DOI:

https://doi.org/10.21276/apjhs.2017.4.4.30

Keywords:

Computed tomography, extradural hematoma, head injury, magnetic resonance imaging, radiographical features

Abstract

Background: The extradural hematoma is the most important expanding lesion due to head injury with high indexes of mortality
and morbidity when the correct management is not done. Frontal extradural hematoma (FEH) is considered rare, representing
about 10% of the whole extradural hematoma. They are usually unilateral and may present with subacute and chronic evolution in
40% of the cases. Objective: The aim is to study fifteen cases of FEH and analyze the causes, clinical findings, and radiographic
appearance. Materials and Methods: A totsl of 15 patients were studied retrospectively, FEH from the picture archiving and
communication system of computed tomography (CT) scanner and magnetic resonance imaging (MRI). 12 cases were male and
three female. The age ranged from 10 to 32 years, with a mean of 18 years. Results: The main causes were traffic accidents and
falls. In two cases, the hematoma was bilateral. Acute collection occurred in 9 cases, subacute in 3, and chronic in 3. The most
important clinical findings were headaches, vomiting, and seizures. Skull X-rays detected fracture in 9 cases, and CT was positive
in demonstrating the hematoma. Conclusions: (1) The FEH is more frequent in young adults, (2) its evolution is slow, usually
subacute or chronic, in majority of the cases, (3) the clinical findings of the FEH course with few neurological symptoms during
its evolution, and (4) the FEH appears hyperdense in CT images and hypo- to hyper-dense in MRI.

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Author Biography

S. Tamijeselvan, Mother Theresa Post Graduate and Research Institute of Health Sciences, Puducherry, India.

Department of Radiography, 
Mobile: 91-94432 08730 

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Published

2017-12-30

How to Cite

S. Tamijeselvan. (2017). An analysis of frontal extradural hematoma and its radiographic features. Asian Pacific Journal of Health Sciences, 4(4), 126129. https://doi.org/10.21276/apjhs.2017.4.4.30