Bilateral symmetrical extradural hematoma in an older person: A case report.

ABSTRACT

INTRODUCTION AND IMPORTANCE The occurrence of bilateral extradural hematomas (EDH) is a rare consequence of craniocerebral trauma, and acute symmetrical bilateral epidural hematomas are extremely rare even more so in elderly subjects. PRESENTATION OF THE CASE We report the case of an 82-year-old patient who had fallen down a flight of stairs. Scalp examination was consistent with a bi-parietal subgaleal hematoma. Clinically, he was confused with a glascow score of 13/15. His brain scan showed bilateral and symmetrical parietal EDH with simple fractures of both parietal bones. The patient underwent a two-stage evacuation of the extra-dural hematomas. CLINICAL DISCUSSION: The management of bilateral EDH cases requires careful planning, adequate exposure, judicious surgical approach and time management for good results. CONCLUSION: To our knowledge, no case of bilateral hematoma in an elderly subject has been reported in the literature.