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Epidural hematoma at the vertex: Surgical vs conservative management

Keywords: conservative treatment , head injury , surgical indications , vertex epidural hematoma.

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Vertex epidural haematomas may be underestimated or overlooked altogether when computed tomographic scans alone are used for diagnosis. Magnetic resonance imaging is not usually indicated for trauma patients, but it is an appropriate diagnostic modality for this rare lesions, to supplement standard axial computed tomographic scans. Two cases of successfully treated vertex epidural haematomas, in a 35-year-old man who presented with headache, vomiting and an 30-year-old man who presented with vomiting. Both haematomas were traumatic in origin and were associated with cranial fracture.


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