Post-traumatic hematoma of the "transdural" virtual space. A possible cause of incorrect surgical treatment of epidural hematomas

The space existing between the external and internal dural layer has been anatomically described as a virtual space; no clear clinical significance has been given to it to date. We hereby describe a case of a child with what was expected to be a purely epidural hematoma, at surgery, was found to be...

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Bibliographic Details
Published in:British journal of neurosurgery 2024-04, Vol.ahead-of-print (ahead-of-print), p.1-3
Main Authors: Ducoli, G., Bianchi, F., Frassanito, P., Massimi, L., Tamburrini, G.
Format: Article
Language:English
Subjects:
Child
Epidural hematoma
Epidural Space
Hematoma, Epidural, Cranial - diagnostic imaging
Hematoma, Epidural, Cranial - etiology
Hematoma, Epidural, Cranial - surgery
Hematoma, Epidural, Spinal - surgery
Humans
hydrocephalus
Neurosurgical Procedures - methods
surgery
transdural space
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Summary:The space existing between the external and internal dural layer has been anatomically described as a virtual space; no clear clinical significance has been given to it to date. We hereby describe a case of a child with what was expected to be a purely epidural hematoma, at surgery, was found to be composed of two equally coexistent components, one in the epidural space and the second one between the two dural layers. The recognition of a possible involvement of the transdural space in the case of post-traumatic epidural hematomas is relevant for a correct conclusion of the surgical treatment of epidural hematomas, extensively considered basic practice among neurosurgical procedures.
ISSN:0268-8697
1360-046X
DOI:10.1080/02688697.2020.1828275