• Acta neurochirurgica · Jan 1995

    Case Reports

    Chronic expanding epidural haematoma. Case report.

    • T Watanabe, K Nakahara, Y Miki, S Shibui, K Takakura, and K Nomura.
    • Department of Neurosurgery, National Cancer Center Hospital, Tokyo, Japan.
    • Acta Neurochir (Wien). 1995 Jan 1; 132 (1-3): 150-3.

    AbstractAn encapsulated fluid epidural haematoma in a 9-year-old boy was successfully evacuated by a simple burr hole procedure 5 months after a minor head injury. Clinicopathological findings suggested that chronic expansion of an initially unsuspected epidural haematoma occurred as a result of repeated haemorrhages from the haematoma membrane, resulting in an unusually long delayed appearance of clinical evidence. This case demonstrates that a chronic expanding process similar to that seen in chronic subdural haematoma needs to be considered as a possible complication of epidural haematoma and indicates an important role for the haematoma membrane in the chronic expansion of epidural haematoma.

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