Summary
Two cases of extradural haematoma of delayed onset, demonstrated by serial computed tomography (CT), are presented. The first patient developed a fatal posterior fossa haematoma, which was not present on the initial CT four hours after the accident. The second patient developed a right parietal haematoma, which was not present on the CT two and a half hours after the accident. These cases are in disagreement with the hypothesis that extradural haematomas reach near maximum size within minutes after trauma.
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Davis, C. H. G., Nichols, R. W. T., Late diagnosis by computerized tomography of unsuspected extradural haematoma (letter). Lancet2 (1980), 416–417.
Ford, L. E., McLaurin, R. L., Mechanisms of extradural hematomas. J. Neurosurg.20 (1963), 760–769.
Goodkin, R., Zahniser, J., Sequential angiographic studies demonstrating delayed development of an acute epidural hematoma. J. Neurosurg.48 (1978), 479–482.
Handa, J., Handa, H., Nakano, Y., Rim enhancement in computed tomography with chronic epidural hematoma. Surg. Neurol.11 (1979), 217–220.
Hirsh, L. F., Chronic epidural hematomas. Neurosurgery6 (1980), 508–512.
Koulouris, S., Rizzoli, H. V., Acute bilateral extradural hematoma: Case report. Neurosurgery7 (1980), 608–610.
Nicola, N., Dietrich, U., Seibert, H. K., Value of computerized tomography in setting the indication for surgical treatment of extradural haematomas with a delayed course (abstract). Acta neurochir. (Wien)56 (1981), 255.
Pozzati, E., Frank, F., Frank, G., Gaist, G., Subacute and chronic extradural hematomas: A study of 30 cases. J. Trauma20 (1980), 795–799.
Rieth, K. G., Schwartz, F. T., Davis, D. O., Acute isodense epidural hematoma on computed tomography. J. Comput. Assist. Tomogr.3 (1979), 691–693.
Roberson, F. C., Kishore, P. R. S., Miller, J. D., Lipper, M. H., Becker, D. P., The value of serial computerized tomography in the management of severe head injury. Surg. Neurol.12 (1979), 161–167.
Schechter, M. M., Zingesser, L. H., Rayport, M., Torn meningeal vessels: An evaluation of a clinical spectrum through the use of angiography. Radiology86 (1966), 686–695.
Zander, E., Campiche, R., Extra-dural hematoma. In: Advances and technical standards in neurosurgery, Vol. 1 (Krayenbühl, H., ed.), pp. 121–139. Wien-New York: Springer. 1974.
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Fankhauser, H., Kiener, M. Delayed development of extradural haematomas. Acta neurochir 60, 29–35 (1982). https://doi.org/10.1007/BF01401747
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DOI: https://doi.org/10.1007/BF01401747