Abstract:

This paper reported a case of traumatic progressive bilateral epidural hematomas of posterior cranial fossa. The progressive bilateral hematomas which caused obstructive hydrocephalus were confirmed on second CT scanning 14 h after injury, which occurred in the impact location where only occipital linear fracture and thin epidural hematoma were seen on the initial CT scanning 1 h after injury. However, the patient only complained headache, and no abnormal neurological sign was found. The hydrocephalus disappeared after emergent evacuation of hematomas by occipital para-midline approach, and the patient had favourable recovery. On basis of literature review, some issues about this case were discussed in this paper.

Key words: traumatic brain injury, bilateral epidural hematoma, posterior cranial fossa, progressive hemorrhage