Skip to main content
Log in

Acute traumatic vertex epidural haematomas surgically treated

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

Eleven consecutive cases of acute traumatic vertex epidural haematomas (VEDHs) among 416 epidural haematomas (EDHs) operated on during the same period in the Neurosurgical Clinic of the University of Genoa, are reported. Clinical features, neuroradiological aspects (X-ray, angiography and CT scan) and results are discussed, in order to point out the problems encountered in the diagnosis, expecially due to the mystifying clinical picture and the unsuitability of the axial CT scan in the detection of these lesions. In this series mortality rate was 18%, against 50% reported in the literature.

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

Access this article

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

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Alexander GL (1961) Extradural haematoma at the vertex. J Neurol Neurosurg Psychiat 24: 381–384

    Google Scholar 

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

    PubMed  Google Scholar 

  3. Bricolo AP, Pasut LM (1984) Extradural haematoma: toward zero mortality. A prospective study. Neurosurg 14: 8–12

    PubMed  Google Scholar 

  4. Columella F, Delzanno GB, Nicola GC (1959) L'ematoma epidurale al vertice. Sist Nerv 2: 104–118

    Google Scholar 

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

    PubMed  Google Scholar 

  6. Correia A, Müke R (1972) Das epidurale HÄmatom über dem Sinus sagittalis superior. Acta Neurochir (Wien) 27: 37–44

    Google Scholar 

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

    PubMed  Google Scholar 

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

    Google Scholar 

  9. Gentile SL, Rivano C, Rosa M (1968) Contributo alla conoscenza degli ematomi epidurali al vertice. Neuropsichiatria 24: 1–15

    Google Scholar 

  10. Iwata K (1964) Sagittal sinus haematoma. (Angiographic demonstration and clinical pathology). Pac Med Surg 72: 340–342

    PubMed  Google Scholar 

  11. Levy A, Blauenstein U, Schupbach M (1968) Angiographische und Ophthalmologische Befunde beim Epiduralen Haematom über dem Sinus sagittalis superior. Hinweise auf eine venöse Abflu\behinderung. Acta Neurochir (Wien) 18: 112–128

    Google Scholar 

  12. Loew F, Wüstner S (1960) Diagnose, Behandlung und Prognose der Traumatischen HÄmatome des SchÄdelinneren. Acta Neurochir (Wien) Suppl 8

  13. McKissock W, Taylor JC, Bloom WH, Till K (1960) Extradural haematoma (observation on 125 cases). Lancet 2: 167–172

    Google Scholar 

  14. Oka K, Rothon AL Jr, Barry M, Rodriguez R (1985) Microsurgical anatomy of the superficial veins of the cerebrum. Neurosurgery 17: 711–748

    PubMed  Google Scholar 

  15. Pomeranz S, Wald U, Zagzag D, Gomori M, Shalit M (1984) Chronic epidural hematoma at the vertex: problems in detection with computed tomography. Surg Neurol 22: 409–411

    PubMed  Google Scholar 

  16. Soyka B (1970) Das chronische epidurale HÄmatom der Scheitelmitte. Zbl Neurochir 34: 43–50

    Google Scholar 

  17. Stevenson GC, Brown HA, Hoyt WF (1964) Chronic venous epidural hematoma at the vertex. J Neurosurg 21: 887–891

    PubMed  Google Scholar 

  18. Zuccarello M, Fiore DL, Trincia G, Pardatscher K, Andrioli GC (1982) Epidural haematoma at the vertex. Acta Neurochir (Wien) 66: 195–206

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Borzone, M., Rivano, C., Altomonte, M. et al. Acute traumatic vertex epidural haematomas surgically treated. Acta neurochir 93, 55–60 (1988). https://doi.org/10.1007/BF01409903

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01409903

Keywords

Navigation