Extradural Hematoma

Post-Traumatic Extradural Hematoma

A 38 year gentleman sustained traumatic brain injury in a road traffic accident. He was unconscious since the time of accident. In emergency his GCS was E1V1M1. Pupils were mid-dilated and sluggish reacting. Initial CT scan showed left temporal thin extradural hematoma and traumatic subarachnoid hemorrhage. The patient underwent left fronto-temporo-parietal decompressive craniectomy with duroplasty. There was not much improvement in his neurological status. A follow up CT scan showed extensive left cerebral hemisphere infarction.

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