Posterior cranial fossa venous extradural haematoma: an uncommon form of intracranial injury

Extradural haematomas are commonly associated with direct trauma to the temporal bones of the cranium resulting in damage to the middle meningeal artery or its branches. A case is presented of an occipital skull fracture with venous sinus bleeding that resulted in a posterior cranial fossa extradura...

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Bibliographic Details
Published in:Emergency medicine journal : EMJ 2001-11, Vol.18 (6), p.496-497
Main Authors: Khwaja, H A, Hormbrey, P J
Format: Article
Language:English
Subjects:
Adult
Age groups
Bibliography
Bones
Brain
Case Report
Case studies
Community
Cranial Fossa, Posterior
Emergency medicine
Epidural
Epidural hematoma
extradural haematoma
Fractures
Head injuries
Hematoma, Epidural, Cranial - diagnosis
Hematoma, Epidural, Cranial - etiology
Hematoma, Epidural, Cranial - surgery
Humans
Male
Mortality
Occipital Bone - injuries
Patients
Sinuses
Skull
Skull Fractures - complications
Surgery
Tomography
Tomography, X-Ray Computed
Trauma
Veins & arteries
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Description
Summary:Extradural haematomas are commonly associated with direct trauma to the temporal bones of the cranium resulting in damage to the middle meningeal artery or its branches. A case is presented of an occipital skull fracture with venous sinus bleeding that resulted in a posterior cranial fossa extradural haematoma. Bleeding in this area, if unrecognised, may lead rapidly to respiratory arrest secondary to brainstem compression. The presence of significant trauma to the occiput should alert the attending clinician to the possibility of this uncommon but potentially fatal condition.
ISSN:1472-0205
1472-0213
DOI:10.1136/emj.18.6.496