Skip to main content
SpringerLink
Log in

Epidural haematoma at the vertex

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

We report 14 cases of vertex epidural haematomas among 478 cases of epidural haematomas that were hospitalized in the Neurosurgical Department of the University Hospital of Padova during the period 1953–1980.

We discuss the clinical, diagnostic, and prognostic features. The mortality rate was 50%. In this type of traumatic haematoma prompt surgical treatment is not always followed by good recovery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Alexander, G. L., Extradural haematcma at the vertex. J. Neurol. Neurosurg. Psychiat.24 (1961), 381–384.

    Google Scholar 

  2. Borzone, M., Gentile, S., Perria, C., Rosa, M., Vertex epidural hematomas. Surg. Neurol.11 (1979), 277–284.

    PubMed  Google Scholar 

  3. Brodin, H., Extradural hematomas. A survey of cases covering a 20-year period with special reference to diagnosis. Acta chir. Scand.102 (1952), 99–109.

    Google Scholar 

  4. Brown, E. M., Injuries of the venous sinuses of the brain. With a report of a case of injury of the longitudinal sinus and a review of the literature. Surg. Gynec. Obstet.11 (1910), 500–507.

    Google Scholar 

  5. Campiche, R., Hématome épidural subaigu de localisation inhabituelle avec son image artériographique. Radiol. clin.31 (1962), 95–100.

    PubMed  Google Scholar 

  6. Carlucci, G. A., Injury to the longitudinal sinus accompanying a depressed fracture of the skull. Amer. J. Surg.45 (1939), 120–124.

    Google Scholar 

  7. Columella, F., Gaist, G., Piazza, G., Caraffa, T., Extradural haematoma at the vertex. J. Neurol. Neurosurg. Psychiat.31 (1968), 315–320.

    PubMed  Google Scholar 

  8. Correia, A., Muke, R., Das epidurale Hämatom über dem Sinus sagittalis superior. Acta neurochir. (Wien)27 (1972), 37–44.

    Google Scholar 

  9. D'Andrea, F., Conforti, P., Considerazioni cliniche sull'ematoma epidurale al vertice. Osped. Psichiat.27 (1959), 25–38.

    PubMed  Google Scholar 

  10. Da Pian, R., Benati, A., Bricolo, A., Tomasi, A., Perbellini, D., Dalle Ore, G., Ematomi extradurali traumatici del terzo medio del seno longitudinale superiore. Ospedal. Ital. Chir.8 (1963), 667–676.

    Google Scholar 

  11. Friedmann, G., Schmidt-Wittkamp, E., Walter, W., Zur Diagnose des epiduralen Haematomas im Carotisangiogramm. Dtsch. Z. Nervenheilk.179 (1959), 603–613.

    Google Scholar 

  12. Grant, W. T., Chronic extradural hematoma. Report of a case of hematoma in anterior cranial fossa. Bull. Los Angeles neurol. Soc.9 (1944), 156–162.

    Google Scholar 

  13. Guthrie, G. J., Commentaries on the surgery of the war in Portugal, Spain, France, and the Netherlands, from the battle of Roliça in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854–1855. Showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate, 6th ed., 614 pp. (see p. 349). Philadelphia: J. B. Lippincott & Co. 1862.

    Google Scholar 

  14. Heiskanen, O., Epidural hematoma. Surg. Neurol.4 (1975), 23–26.

    PubMed  Google Scholar 

  15. Hooper, R., Observations on extradural haemorrhage. Brit. J. Surg.47 (1959), 71–87.

    PubMed  Google Scholar 

  16. Iwata, K., Sagittal sinus hematoma. Angiographic demonstration and clinical pathology. Pac. Med. Surg.72 (1964), 340–342.

    PubMed  Google Scholar 

  17. Kessel, F. K., Guttmann, L., Maurer, G., Neurotraumatologie mit Einschluß der Grenzgebiete. Band I. München-Berlin-Wien: Urban & Schwarzenberg. 1969.

    Google Scholar 

  18. Krayenbühl, H., Yaşargil, M. G., Die zerebrale Angiographie, 2. Aufl. Stuttgart: Thieme. 1965.

    Google Scholar 

  19. Lanksch, W., Grumme, Th., Kazner, E., Computed tomography in head injuries, pp. 17–21. Berlin-Heidelberg-New York: Springer. 1979.

    Google Scholar 

  20. Le Count, E. R., Apfelbach, C. W., Pathologic anatomy of traumatic fractures of cranial bones and concomitant brain injuries. J. Amer. med. Ass.74 (1920), 501–511.

    Google Scholar 

  21. Levy, A., Blauenstein, U., Schupbach, M., Angiographische and ophthalmologische Befunde beim epiduralen Haematom über dem Sinus sagittalis superior. Hinweise auf eine venöse Abflußbehinderung. Acta neurochir. (Wien)18 (1968), 112–128.

    Google Scholar 

  22. Lindgren, S. O., Acute severe head injuries. Clinical diagnosis and classification with respect to early prognosis and treatment. Acta Chir. Scand., Suppl.254 (1960), 1–49.

    Google Scholar 

  23. Loew, F., Wünster, S., Diagnose, Behandlung und Prognose der traumatischen Hämatome des Schädelinneren. Acta neurochir. (Wien)8 (1960).

  24. Luys, G., Fracture du crâne. Rupture du sinus latéral. Bull. Soc. anat. Paris73 (1898), 450–454.

    Google Scholar 

  25. McKissock, W., Taylor, J. C., Bloom, W. H., Till, K., Extradural haematoma. Observations on 125 cases. Lancet2 (1960), 167–172.

    Google Scholar 

  26. Munro, D., Cranial and intracranial damage in the newborn. An end-result study of 117 cases. Surg. Gynec. Obstet.47 (1928), 622–630.

    Google Scholar 

  27. Paul, M., Haemorrhages from head injuries. Ann. roy. Coll. Surg. Engl.17 (1955), 69–101.

    Google Scholar 

  28. Pecker, J., Javalet, A., Le Menn, G., L'hématome extra-dural. Réflexions sur une série de 111 cas personnels. Neuro-chirurgie5 (1959), 428–449.

    PubMed  Google Scholar 

  29. Phonprasert, C., Suwanwela, C., Hongsaprabhas, C., Prichayudh, P., O'Charoen, S., Extradural hematoma: Analysis of 138 cases. J. Trauma20 (1980), 679–683.

    PubMed  Google Scholar 

  30. Pozzati, E., Frank, F., Frank, G., Gaist, G., Subacute and chronic extradural hematomas: a study of 30 cases. J. Trauma20 (1980), 795–799.

    PubMed  Google Scholar 

  31. Pringle, J. H., Traumatic meningeal haemorrhage, with a review of seventy-one cases. Edin. med. J. n.s.45 (1938), 741–760.

    Google Scholar 

  32. Raaf, J., Massive extradural hematoma. Amer. J. Surg.76 (1948), 567–575.

    Google Scholar 

  33. Reichert, F. L., Morrissey, E. J., Extradural venous hemorrhage. Ann. Surg.113 (1941), 204–208.

    Google Scholar 

  34. Ricard, A., Des ruptures traumatiques du sinus latéral. Lyon chir.26 (1929), 476–502.

    Google Scholar 

  35. Rowbotham, G. F., Acute injuries of the head. Their diagnosis, treatment, complications, and sequels, 3rd ed., XX, 480 pp. Edinburgh: E. & S. Livingstone Ltd. 1949.

    Google Scholar 

  36. Schechter, M. M., Angiography in head trauma. Clin. Neurosurg.12 (1966), 193–225.

    Google Scholar 

  37. Schiefer, W., Kazner, E., Klinische Echo-Encephalographie. Berlin-Heidelberg-New York: Springer. 1967.

    Google Scholar 

  38. Stevenson, G. C., Brown, H. A., Hoyt, W. F., Chronic venous epidural haematoma at the vertex. J. Neurosurg.21 (1954), 887–891.

    Google Scholar 

  39. Tiwisina, T., Stäcker, A. D., Die frischen Schädel-Hirnverletzungen im Gefäßbild. Chirurg.30 (1959), 344–349.

    PubMed  Google Scholar 

  40. Voris, H. C., Extradural haemorrhage from a tear in the lateral sinus simulating middle meningeal hemorrhage: report of a case. Arch. Neurol. Psychiat. (Chicago)43 (1940), 609–610.

    Google Scholar 

  41. Wertheimer, P., Levy, A., Laplas, C., Tusini, G., Les aspects angiographiques des épanchements intracraniens traumatiques. Lyon chir.54 (1958), 481–493.

    Google Scholar 

  42. Wickbom, I., Angiography of the carotid artery. Acta radiol. (Stockh.), Suppl. LXXII, 1–141.

  43. Wilensky, A., Fracture of the skull with special reference to its neurological manifestations. Ann. Surg.70 (1919), 404–429.

    Google Scholar 

Download references

Author information

Author notes

  1. M. Zuccarello

    Present address: Neurosurgical Department, University Hospital, Padova, Italy

Authors and Affiliations

  1. Neurosurgical Department, University Hospital, Padova, Italy

    D. L. Fiore, G. Trincia, K. Pardatscher & G. C. Andrioli

  2. Neuroradiological Service, University Hospital, Padova, Italy

    D. L. Fiore & K. Pardatscher

Authors
  1. M. Zuccarello
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. D. L. Fiore
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Trincia
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. Pardatscher
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. G. C. Andrioli
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zuccarello, M., Fiore, D.L., Trincia, G. et al. Epidural haematoma at the vertex. Acta neurochir 66, 195–206 (1982). https://doi.org/10.1007/BF02074506

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02074506

Keywords

Search

Navigation